Provider Demographics
NPI:1063567386
Name:SINGH, TULSI D (MD)
Entity type:Individual
Prefix:DR
First Name:TULSI
Middle Name:D
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 W MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-5808
Mailing Address - Country:US
Mailing Address - Phone:432-682-2356
Mailing Address - Fax:432-682-0624
Practice Address - Street 1:2300 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5808
Practice Address - Country:US
Practice Address - Phone:432-682-2356
Practice Address - Fax:432-682-0624
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2010207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00JK98Medicare ID - Type Unspecified
TXC21860Medicare UPIN