Basic Information
Provider Information
NPI: 1013571470
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGAL
FirstName: ANKUR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6245 INKSTER RD
Address2:  
City: GARDEN CITY
State: MI
PostalCode: 481354001
CountryCode: US
TelephoneNumber: 7344583300
FaxNumber:  
Practice Location
Address1: 2351 E 22ND ST
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441153111
CountryCode: US
TelephoneNumber: 2168616200
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/30/2019
LastUpdateDate: 06/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X34.015874OHY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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