Provider Demographics
NPI:1588914345
Name:SINGH, RANJEET (MD)
Entity type:Individual
Prefix:
First Name:RANJEET
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 1:2149 E WARNER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3495
Mailing Address - Country:US
Mailing Address - Phone:480-610-6100
Mailing Address - Fax:480-464-0189
Practice Address - Street 1:2149 E WARNER RD STE 102
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-3495
Practice Address - Country:US
Practice Address - Phone:480-610-6100
Practice Address - Fax:480-610-6189
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ51987207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ201586Medicaid
AZ51987OtherARIZONA STATE LICENSE
AZ51987OtherARIZONA STATE LICENSE
AZFS6149721OtherDEA