Basic Information
Provider Information
NPI: 1417237538
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGLA
FirstName: ABHISHEK
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 636256
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452636256
CountryCode: US
TelephoneNumber: 5132453104
FaxNumber: 5135855511
Practice Location
Address1: 234 GOODMAN ST
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452192364
CountryCode: US
TelephoneNumber: 5135584831
FaxNumber: 5135584858
Other Information
ProviderEnumerationDate: 08/20/2011
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X6555NEN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X35.123118OHN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X35123118OHN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001X35.123118OHY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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