Healthcare Provider Details

I. General information

NPI: 1477554756
Provider Name (Legal Business Name): EDUARDO SMITH SINGARES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: EDUARDO SMITH SINGARES M.D.

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7122 W OKANOGAN PL STE B110
KENNEWICK WA
99336-2359
US

IV. Provider business mailing address

5602 W CLEARWATER AVE STE A
KENNEWICK WA
99336-1909
US

V. Phone/Fax

Practice location:
  • Phone: 509-783-1310
  • Fax:
Mailing address:
  • Phone: 908-510-7798
  • Fax: 509-769-5083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036-117728
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License NumberMD60993057
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD60993057
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD60993057
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number036-117728
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number036-117728
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: