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NPI Code Detail

MEDICARE: DR. AMITA D BISHNOI-SINGH M.D.

MEDICARE: DR. AMITA D BISHNOI-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
1174400000XSpecialistAB072723MI
2207RR0500XRheumatology Physician4301072723MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AB072723OTHERMILICENSE NIMBER

General Provider Information

NPI Number : 1427151067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMITA D BISHNOI-SINGH M.D.
Provider Business Mailing Address
First Line : 1 FORD PL STE 3A
Second Line :
City : DETROIT
State : MI
Zip : 48202-3450
Country : US
Telephone Number : 313-874-4806
Fax Number :
Provider Business Practice Location Address
First Line : 14500 HALL RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48313-1229
Country : US
Telephone Number : 586-247-3725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 09/29/2023

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