Provider Demographics
NPI:1285319434
Name:SHAKTI SINGH MD PC
Entity type:Organization
Organization Name:SHAKTI SINGH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAKTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-999-7075
Mailing Address - Street 1:20950 N TATUM BLVD STE 290
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-4254
Mailing Address - Country:US
Mailing Address - Phone:480-999-7075
Mailing Address - Fax:480-781-0704
Practice Address - Street 1:20950 N TATUM BLVD STE 290
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-4254
Practice Address - Country:US
Practice Address - Phone:480-999-7075
Practice Address - Fax:480-781-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty