MEDICARE: RAVI K. SINGH PA-C

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	363A00000X	Physician Assistant	0010-06925	NC

General Provider Information

NPI Number	:	1083620009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAVI K. SINGH PA-C

Provider Business Mailing Address
First Line	:	PO BOX 1430
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22803-1430
Country	:	US
Telephone Number	:	540-689-5700
Fax Number	:	844-721-5024

Provider Business Practice Location Address
First Line	:	110 CAPCOM AVE STE 201
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-6531
Country	:	US
Telephone Number	:	919-758-8677
Fax Number	:	919-758-8723

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	05/03/2022

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