Provider Demographics
NPI:1194718486
Name:SINGH, RANJIT (MD)
Entity type:Individual
Prefix:
First Name:RANJIT
Middle Name:
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 1:637 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:NY
Mailing Address - Zip Code:14092-1909
Mailing Address - Country:US
Mailing Address - Phone:716-282-5545
Mailing Address - Fax:716-282-5545
Practice Address - Street 1:462 GRIDER ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3021
Practice Address - Country:US
Practice Address - Phone:716-898-5647
Practice Address - Fax:716-898-3536
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250060207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02076593Medicaid
H11099Medicare UPIN
NYBB9526Medicare ID - Type Unspecified