MEDICARE: SHASHIDEEP SINGHAL 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	207RG0100X	Gastroenterology Physician	Q0366	TX
2	207RG0100X	Gastroenterology Physician	270067	NY

General Provider Information

NPI Number	:	1891943098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHASHIDEEP SINGHAL M.D.

Provider Business Mailing Address
First Line	:	12121 RICHMOND AVE STE 424
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2439
Country	:	US
Telephone Number	:	832-379-8603
Fax Number	:	832-379-1928

Provider Business Practice Location Address
First Line	:	12121 RICHMOND AVE STE 424
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2439
Country	:	US
Telephone Number	:	347-446-8203
Fax Number	:	832-379-1928

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

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	12/26/2025

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