Provider Demographics
NPI:1295934719
Name:SINGH, MANOJKUMAR S (MD)
Entity type:Individual
Prefix:DR
First Name:MANOJKUMAR
Middle Name:S
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 1:9500 S DADELAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2866
Mailing Address - Country:US
Mailing Address - Phone:786-530-3820
Mailing Address - Fax:305-675-3378
Practice Address - Street 1:8231 CORNELL RD STE 320
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-2281
Practice Address - Country:US
Practice Address - Phone:513-389-7300
Practice Address - Fax:513-389-7302
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01064669A207RG0100X
OH35091007207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00675353OtherRAILROAD MEDICARE
IN200911180Medicaid
OH2902201Medicaid
OHP00675352OtherRAILROAD MEDICARE
INP00675353OtherRAILROAD MEDICARE
IN172430PMedicare PIN