Provider Demographics
NPI:1194731299
Name:SINGLA, ANGELA KUMARI (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:KUMARI
Last Name:SINGLA
Suffix:
Gender:F
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:PO BOX 950248
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0248
Mailing Address - Country:US
Mailing Address - Phone:502-253-4900
Mailing Address - Fax:502-489-5750
Practice Address - Street 1:3999 DUTCHMANS LN
Practice Address - Street 2:SUITE 4D
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4729
Practice Address - Country:US
Practice Address - Phone:502-893-6777
Practice Address - Fax:502-899-5535
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38005207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50000847OtherPASSPORT
KY64064058Medicaid
KY2623OtherBCBS
KY50000847OtherPASSPORT
KY64064058Medicaid
KYK006110Medicare Oscar/Certification
KY64064058Medicaid