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General NPI Number Information
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NPI Number | 1447308440
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Entity Type | Individual
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Provider Name | RAVINDER P SINGH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 17193 WAYSIDE DR
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City | DUMFRIES
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State | VA
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Zip | 22026-2766
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Country | US
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Telephone | 703-445-8110
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Fax | 703-445-8330
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Provider Business Mailing Address
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Address Line | 9910 HAMPTON ROAD
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City | FAIRFAX STATION
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State | VA
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Zip | 22039
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Country | US
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Telephone | 703-490-2700
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Fax | 703-491-2571
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101055161
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License Number State | VA
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