MEDICARE: GLENDA J SINGH

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	347C00000X	Private Vehicle	8920-882722	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N/A	OTHER	IN	NOT APPLICABLE

General Provider Information

NPI Number	:	1053732594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLENDA J SINGH

Provider Business Mailing Address
First Line	:	5006 OAKBROOK RD
Second Line	:	C
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-1137
Country	:	US
Telephone Number	:	317-280-7499
Fax Number	:

Provider Business Practice Location Address
First Line	:	5006 OAKBROOK RD
Second Line	:	C
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-1137
Country	:	US
Telephone Number	:	317-280-7499
Fax Number	:

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

Provider Enumeration Date	:	12/31/2013
Last Update Date	:	12/31/2013

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Directions to “ GLENDA J SINGH ” Practice Location

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