Provider Demographics
NPI:1538258488
Name:SINGH, MAHINDERJIT (MD)
Entity type:Individual
Prefix:DR
First Name:MAHINDERJIT
Middle Name:
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 1:559 GRAMATAN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-2155
Mailing Address - Country:US
Mailing Address - Phone:914-668-7386
Mailing Address - Fax:914-668-7093
Practice Address - Street 1:559 GRAMATAN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-2155
Practice Address - Country:US
Practice Address - Phone:914-668-7386
Practice Address - Fax:914-668-7093
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190315-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01384812Medicaid
NYF47454Medicare UPIN
NY01384812Medicaid