Basic Information
| Provider Information | |||||||||
| NPI: | 1962504704 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | SURAJ | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1003 S 5TH ST | ||||||||
| Address2: | 3L | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984054210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2534034994 | ||||||||
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| Practice Location | |||||||||
| Address1: | NORTH COLORADO MEDICAL CENTER | ||||||||
| Address2: | 1801 16TH STREET | ||||||||
| City: | GREELY | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9708103894 | ||||||||
| FaxNumber: | 9708103897 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2006 | ||||||||
| LastUpdateDate: | 09/03/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | MD00046544 | WA | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
No ID Information.