MEDICARE: NEERA SAMUEL SINGH B.S., 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	2085R0202X	Diagnostic Radiology Physician	0101269903	VA

General Provider Information

NPI Number	:	1396036174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEERA SAMUEL SINGH B.S., M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3633
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203
Country	:	US
Telephone Number	:	703-203-4573
Fax Number	:

Provider Business Practice Location Address
First Line	:	5738 N CARLIN SPRINGS RD
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1204
Country	:	US
Telephone Number	:	703-203-4573
Fax Number	:

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

Provider Enumeration Date	:	04/27/2011
Last Update Date	:	08/08/2020

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