Provider Demographics
NPI:1568800340
Name:SINGH, KUNAL (MD)
Entity type:Individual
Prefix:
First Name:KUNAL
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:G3404 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-1238
Mailing Address - Country:US
Mailing Address - Phone:810-238-4172
Mailing Address - Fax:810-238-4153
Practice Address - Street 1:G3404 MILLER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-1238
Practice Address - Country:US
Practice Address - Phone:810-238-4172
Practice Address - Fax:810-238-4153
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-140187207R00000X
MI4301103112207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine