Provider Demographics
NPI:1194799288
Name:SINGH, NIRMAL B (MD)
Entity type:Individual
Prefix:DR
First Name:NIRMAL
Middle Name:B
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 1:8383 N DAVIS HWY
Mailing Address - Street 2:WEST FLORIDA HOSPITAL
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514
Mailing Address - Country:US
Mailing Address - Phone:850-494-5403
Mailing Address - Fax:850-494-4382
Practice Address - Street 1:160 NW 170TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5521
Practice Address - Country:US
Practice Address - Phone:305-651-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0078855207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL059192255OtherBCBS
59149209OtherBSAL
FL258345300Medicaid
FL49712OtherBSFL
FL7158165OtherAETNA
FLP00709432OtherRAILROAD MEDICARE
AL059192255OtherBCBS
FLP00709432OtherRAILROAD MEDICARE
59149209OtherBSAL
FL49712XMedicare ID - Type Unspecified
FL7158165OtherAETNA