Provider Demographics
NPI:1215249537
Name:SINGH, VIKAS (MD)
Entity type:Individual
Prefix:
First Name:VIKAS
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:274 VILLAGE GREEN BOULEVARD
Mailing Address - Street 2:APT 204
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:217-417-8268
Mailing Address - Fax:217-417-8268
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:1914 TAUBMAN CENTER
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109
Practice Address - Country:US
Practice Address - Phone:734-936-9556
Practice Address - Fax:734-936-9556
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2015-01-26
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Provider Licenses
StateLicense IDTaxonomies
IL125058868207R00000X
WI57435-202084N0400X
MI43011051872084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology