Provider Demographics
NPI:1306938410
Name:SINGHAL, MONIKA D (MD)
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:D
Last Name:SINGHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MONIKA
Other - Middle Name:DESAI
Other - Last Name:MANIKANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1800 JUDSON ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605
Mailing Address - Country:US
Mailing Address - Phone:903-238-3366
Mailing Address - Fax:903-212-3143
Practice Address - Street 1:1800 JUDSON ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605
Practice Address - Country:US
Practice Address - Phone:903-238-3366
Practice Address - Fax:903-212-3143
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4171312084P0800X
TXN82462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001858804Medicaid
PA001858804Medicaid
PA023996Medicare ID - Type Unspecified