Provider Demographics
NPI:1154618957
Name:SINGH, RATNA CHANDANA (MD)
Entity type:Individual
Prefix:DR
First Name:RATNA
Middle Name:CHANDANA
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RATNA
Other - Middle Name:CHANDANA
Other - Last Name:MEDICHERLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:170 MAPLE AVENUE
Mailing Address - Street 2:SUITE 502
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601
Mailing Address - Country:US
Mailing Address - Phone:914-849-7175
Mailing Address - Fax:914-849-7173
Practice Address - Street 1:170 MAPLE AVENUE
Practice Address - Street 2:SUITE 502
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-849-7175
Practice Address - Fax:914-849-7173
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY289862-12086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program