Basic Information
Provider Information
NPI: 1114213774
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: SHAILENDRA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1605 N CEDAR CREST BLVD STE 411
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181042323
CountryCode: US
TelephoneNumber: 6109691917
FaxNumber: 4846647659
Practice Location
Address1: 1250 S CEDAR CREST BLVD STE 300
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 18103
CountryCode: US
TelephoneNumber: 6104023110
FaxNumber: 6104023112
Other Information
ProviderEnumerationDate: 06/22/2011
LastUpdateDate: 10/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD465283PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000XMD465283PAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011XMD465283PAY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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