MEDICARE: DR. ALKA SINGAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	ME86477	FL
2	2084P0802X	Addiction Psychiatry Physician	ME86477	FL
3	2084P0800X	Psychiatry Physician	ME86477	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053428607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALKA SINGAL MD

Provider Business Mailing Address
First Line	:	1135 NW 139TH AVE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-2339
Country	:	US
Telephone Number	:	954-449-1746
Fax Number	:	954-449-1736

Provider Business Practice Location Address
First Line	:	2900 W PROSPECT RD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-2519
Country	:	US
Telephone Number	:	954-731-1000
Fax Number	:	954-497-3857

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	11/30/2017

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