MEDICARE: JYOTI J. SINGH P.A.-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	10000696A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00437636	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	000000546943	OTHER	IN	ANTHEM PIN NUMBER

General Provider Information

NPI Number	:	1356520720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JYOTI J. SINGH P.A.-C

Provider Business Mailing Address
First Line	:	6626 E 75TH ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	675 E HICKORY LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-8512
Country	:	US
Telephone Number	:	317-883-7712
Fax Number	:

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

Provider Enumeration Date	:	11/01/2007
Last Update Date	:	01/06/2026

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