MEDICARE: ANILKUMAR SINGH MD SC

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	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1639353204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANILKUMAR SINGH MD SC

Provider Business Mailing Address
First Line	:	2745 W LAYTON AVE
Second Line	:	SUITE 202
City	:	MILWAUKEE
State	:	WI
Zip	:	53221-2651
Country	:	US
Telephone Number	:	414-281-0502
Fax Number	:	414-281-2878

Provider Business Practice Location Address
First Line	:	2745 W LAYTON AVE
Second Line	:	SUITE 202
City	:	MILWAUKEE
State	:	WI
Zip	:	53221-2651
Country	:	US
Telephone Number	:	414-281-0502
Fax Number	:	414-281-2878

Authorized Official
Title or Position	:	M.D.
Name	:	ANILKUMAR MOONILAL SINGH
Credential	:
Telephone Number	:	414-281-0502

Provider Enumeration Date	:	12/19/2007
Last Update Date	:	04/16/2010

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