=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730186396
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SATISH C SINGLA M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/28/2005
-----------------------------------------------------
Last Update Date | 10/15/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 SCHUYLKILL MANOR RD STE 7
-----------------------------------------------------
City | POTTSVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17901-3849
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-622-4113
-----------------------------------------------------
Fax | 570-621-4210
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 700 SCHUYLKILL MANOR RD STE 7
-----------------------------------------------------
City | POTTSVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17901-3849
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-622-4113
-----------------------------------------------------
Fax | 570-621-4210
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | MD039272L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number | MD039272L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------