Provider Demographics
NPI:1841251220
Name:SINGH, KIRPAL (MD)
Entity type:Individual
Prefix:
First Name:KIRPAL
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:PO BOX 781076
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48278-1076
Mailing Address - Country:US
Mailing Address - Phone:317-528-4800
Mailing Address - Fax:317-865-1479
Practice Address - Street 1:12188B N MERIDIAN ST STE 250
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4901
Practice Address - Country:US
Practice Address - Phone:317-705-4825
Practice Address - Fax:317-705-4826
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01056157A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
020052373OtherRAILROAD MEDICARE
IN000000225216OtherBLUE CROSS
IN200387470Medicaid
IN7085397OtherAETNA