MEDICARE: DR. AMANDEEP SINGH M.D.

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	207R00000X	Internal Medicine Physician	D0063322	MD
2	208M00000X	Hospitalist Physician	D0063322	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00313883	OTHER	MD	R/R MEDICARE PROVIDER #
3	CN6601	OTHER	MD	R/R MEDICARE GROUP #
5	CA8374	OTHER	MD	R/R MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	572028	OTHER	MD	PTAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154364149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDEEP SINGH M.D.

Provider Business Mailing Address
First Line	:	10298B BALTIMORE NATIONAL PIKE
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-3670
Country	:	US
Telephone Number	:	410-465-1091
Fax Number	:	410-465-8129

Provider Business Practice Location Address
First Line	:	10298B BALTIMORE NATIONAL PIKE
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-3670
Country	:	US
Telephone Number	:	410-465-1091
Fax Number	:	410-465-8129

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	05/11/2020

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Directions to “ DR. AMANDEEP SINGH M.D.” Practice Location

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