MEDICARE: POOJA 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	207R00000X	Internal Medicine Physician	01061181A	IN
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	01061181	IN

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	:	1306875588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	POOJA SINGAL MD

Provider Business Mailing Address
First Line	:	100 HOSPITAL LN STE 205
Second Line	:
City	:	DANVILLE
State	:	IN
Zip	:	46122-1993
Country	:	US
Telephone Number	:	317-745-7445
Fax Number	:	317-745-7449

Provider Business Practice Location Address
First Line	:	100 HOSPITAL LN STE 205
Second Line	:
City	:	DANVILLE
State	:	IN
Zip	:	46122-1993
Country	:	US
Telephone Number	:	317-745-7445
Fax Number	:	317-745-7449

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

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	03/31/2021

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Directions to “ POOJA SINGAL MD” Practice Location

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