Provider Demographics
NPI:1053428748
Name:SINGH, DEEPINDER P (MD)
Entity type:Individual
Prefix:
First Name:DEEPINDER
Middle Name:P
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 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 647
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-5623
Mailing Address - Fax:585-275-1531
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 647
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-5623
Practice Address - Fax:585-275-1531
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2540822085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03142445Medicaid
NY03137051Medicaid
NYJ400005767Medicare PIN
NY35459AMedicare PIN