Provider Demographics
NPI:1992879670
Name:YATINDER M SINGHAL MD PC
Entity type:Organization
Organization Name:YATINDER M SINGHAL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YATINDER
Authorized Official - Middle Name:M
Authorized Official - Last Name:SINGHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-335-1130
Mailing Address - Street 1:43368 WOODWARD AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5051
Mailing Address - Country:US
Mailing Address - Phone:248-335-1130
Mailing Address - Fax:248-335-4680
Practice Address - Street 1:43368 WOODWARD
Practice Address - Street 2:SUITE 102
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0569
Practice Address - Country:US
Practice Address - Phone:248-335-1130
Practice Address - Fax:248-335-4680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101912101YA0400X
MI68010660091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F37041Medicare PIN