MEDICARE: DR. CHATOOR B SINGH

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	207V00000X	Obstetrics & Gynecology Physician	ME0036886	FL

General Provider Information

NPI Number	:	1619029618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHATOOR B SINGH

Provider Business Mailing Address
First Line	:	2620 N ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311
Country	:	US
Telephone Number	:	954-565-7686
Fax Number	:	954-565-6959

Provider Business Practice Location Address
First Line	:	2620 N ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311
Country	:	US
Telephone Number	:	954-565-7686
Fax Number	:	954-565-6959

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/08/2007

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