Organization
PENINSULA NEUROLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJINDER P SINGH MD (OWNER)
(757) 872-9797
Entity
Organization
Contact information
Practice address
802 LOCKWOOD AVE STE A, NEWPORT NEWS, VA 23602-4479
(757) 872-9797
(757) 872-9711
Mailing address
802 LOCKWOOD AVE STE A, NEWPORT NEWS, VA 23602-4479
(757) 872-9797
(757) 872-9711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101041732
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010006279
—
VA
01
—
130019108
RAILROAD MEDICARE
VA
01
—
394415
ANTHEM
VA
01
—
465662
ANTHEM
VA
05
—
7116497
—
VA
01
—
P00205034
RAILROAD MEDICARE
VA
Enumeration date
09/28/2006
Last updated
08/01/2008
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