Provider Demographics
NPI:1912254145
Name:SINGH, OMESH SANKAR (DO)
Entity type:Individual
Prefix:DR
First Name:OMESH
Middle Name:SANKAR
Last Name:SINGH
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7633 BELLAIRE DR S STE 117
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4311
Mailing Address - Country:US
Mailing Address - Phone:817-415-1670
Mailing Address - Fax:817-415-1671
Practice Address - Street 1:7633 BELLAIRE DR S STE 117
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4311
Practice Address - Country:US
Practice Address - Phone:817-415-1670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX567310207R00000X
TXP9962207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX346831601Medicaid
TX417581YSE6Medicare PIN