Provider Demographics
NPI:1215048301
Name:SINGARAVELU, DAKSHINAMURTHY (MD)
Entity type:Individual
Prefix:DR
First Name:DAKSHINAMURTHY
Middle Name:
Last Name:SINGARAVELU
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 1:7700 W SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4113
Mailing Address - Country:US
Mailing Address - Phone:800-437-2672
Mailing Address - Fax:954-851-1746
Practice Address - Street 1:1800 SE TIFFANY AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952
Practice Address - Country:US
Practice Address - Phone:561-548-1272
Practice Address - Fax:561-548-3699
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME134344207L00000X
NJ25MA07844000207L00000X
NY214343-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02164698Medicaid
NY085I021Medicare ID - Type Unspecified
NYH24685Medicare UPIN