MEDICARE: DR. SAMINDER 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	207Q00000X	Family Medicine Physician	036135921	IL
2	207Q00000X	Family Medicine Physician	ME126037	FL
3	207Q00000X	Family Medicine Physician	4301096708	MI
4	207Q00000X	Family Medicine Physician	01072965A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	LI684	OTHER	FL	MEDICARE

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	:	1740592815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMINDER SINGH M.D.

Provider Business Mailing Address
First Line	:	5961 N LINCOLN AVE STE 102
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3758
Country	:	US
Telephone Number	:	312-702-3923
Fax Number	:

Provider Business Practice Location Address
First Line	:	7227 N US HIGHWAY 1 STE 100
Second Line	:
City	:	PORT ST JOHN
State	:	FL
Zip	:	32927-5034
Country	:	US
Telephone Number	:	321-637-1595
Fax Number	:	321-637-1596

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

Provider Enumeration Date	:	07/06/2010
Last Update Date	:	03/09/2020

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Directions to “ DR. SAMINDER SINGH M.D.” Practice Location

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