MEDICARE: SHIVNEEL MELVIN SINGH MSN, RN

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	163WC0200X	Critical Care Medicine Registered Nurse	1190434	TX

General Provider Information

NPI Number	:	1801682398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIVNEEL MELVIN SINGH MSN, RN

Provider Business Mailing Address
First Line	:	2106 LAUREL ST
Second Line	:
City	:	MELISSA
State	:	TX
Zip	:	75454-2927
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2106 LAUREL ST
Second Line	:
City	:	MELISSA
State	:	TX
Zip	:	75454-2927
Country	:	US
Telephone Number	:	972-838-7490
Fax Number	:

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

Provider Enumeration Date	:	04/19/2025
Last Update Date	:	04/19/2025

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