Individual
ADITYA SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 HOSPITAL WAY STE 101, POCATELLO, ID 83201-5175
(208) 239-3899
Mailing address
777 HOSPITAL WAY STE 101, POCATELLO, ID 83201-5175
(208) 239-3899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11594
SD
207R00000X
Internal Medicine Physician
4301109830
MI
207R00000X
Internal Medicine Physician
Primary
MC-1763
ID
Other
Enumeration date
08/18/2016
Last updated
07/31/2023
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