Provider Demographics
NPI:1992987010
Name:LONG, SVATI SINGLA (MD)
Entity type:Individual
Prefix:DR
First Name:SVATI
Middle Name:SINGLA
Last Name:LONG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1121 SITUS CT 170
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-4279
Mailing Address - Country:US
Mailing Address - Phone:919-834-2767
Mailing Address - Fax:919-834-0234
Practice Address - Street 1:4420 LAKE BOONE TRL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7505
Practice Address - Country:US
Practice Address - Phone:919-784-3023
Practice Address - Fax:919-784-3497
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2015-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2012013712085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7033Medicare PIN