Healthcare Provider Details

I. General information

NPI: 1831459619
Provider Name (Legal Business Name): ANITHA B SATHYANARAYANA SINGH M.D.,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 04/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 INDEPENDENCE PKWY STE 300
PLANO TX
75023-5461
US

IV. Provider business mailing address

5501 INDEPENDENCE PKWY STE 300
PLANO TX
75023-5461
US

V. Phone/Fax

Practice location:
  • Phone: 972-867-8979
  • Fax: 972-758-0871
Mailing address:
  • Phone: 972-867-8979
  • Fax: 972-758-0871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP7202
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: