MEDICARE: DR. SANANJAY 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	036156604	IL
2	207R00000X	Internal Medicine Physician	35.148622	OH

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	:	1548525728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANANJAY SINGH M.D.

Provider Business Mailing Address
First Line	:	90 JACKSON PIKE
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-1562
Country	:	US
Telephone Number	:	740-446-5000
Fax Number	:	740-446-5573

Provider Business Practice Location Address
First Line	:	100 JACKSON PIKE
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-1560
Country	:	US
Telephone Number	:	740-446-5000
Fax Number	:	740-446-5583

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

Provider Enumeration Date	:	07/12/2012
Last Update Date	:	03/16/2026

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