# KRISHAN K SINGAL MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588903918
- **Authorized official:** KRISHAN K SINGAL MD (OWNER)
- **Authorized official phone:** (410) 409-5647

## Contact information

- **Practice address:** 415 CRAIN HWY S, GLEN BURNIE, MD 21061-3644
- **Practice address phone:** (410) 766-5055
- **Practice address fax:** (410) 768-7131
- **Mailing address:** 415 CRAIN HWY S, GLEN BURNIE, MD 21061-3644
- **Mailing address phone:** (410) 766-5055
- **Mailing address fax:** (410) 768-7131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D36900 | MD | Yes |
| 207R00000X | Internal Medicine Physician | D63632 | MD | — |
| 363LA2200X | Adult Health Nurse Practitioner | R169414 | MD | — |

## Other

- **Enumeration date:** 02/05/2013
- **Last updated:** 02/05/2013