MEDICARE: DR. SANJEEV K SINGH DPM

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	213ES0131X	Foot Surgery Podiatrist	133	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	74167	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1083609093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANJEEV K SINGH DPM

Provider Business Mailing Address
First Line	:	PO BOX 1166
Second Line	:
City	:	TROY
State	:	AL
Zip	:	36081-1166
Country	:	US
Telephone Number	:	334-566-9400
Fax Number	:	334-566-9408

Provider Business Practice Location Address
First Line	:	1350 HWY 231 SOUTH SUITE A
Second Line	:
City	:	TROY
State	:	AL
Zip	:	36081
Country	:	US
Telephone Number	:	334-566-9400
Fax Number	:	334-566-9408

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	07/13/2012

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