1013944008 NPI number — DEVIKA SINGH M.D.

Table of content: DEVIKA SINGH M.D. (NPI 1013944008)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013944008 NPI number — DEVIKA SINGH M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGH
Provider First Name:
DEVIKA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013944008
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/06/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 547
Provider Second Line Business Mailing Address:
ATT: CVMC FINANCE DEPT
Provider Business Mailing Address City Name:
BARRE
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05641-0547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-225-5400
Provider Business Mailing Address Fax Number:
802-225-5401

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
130 FISHER RD
Provider Second Line Business Practice Location Address:
MOB-B SUITE 3
Provider Business Practice Location Address City Name:
BERLIN
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05602-9516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-225-5400
Provider Business Practice Location Address Fax Number:
802-225-5401
Provider Enumeration Date:
06/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD00046297 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 042.0012762 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RI0200X , with the licence number: 042.0012762 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P01398118 . This is a "RAILROAD MEDICARE/PALMETTO" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: 1022574 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8457566 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00417090 . This is a "RAILROAD MC # VM" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 3693SI . This is a "BLUE SHIELD VM" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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