Individual
DR. PRAFULLA C. SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 BROOKLYN AVE STE 140, SAN ANTONIO, TX 78212-4817
(210) 527-1166
(210) 527-1163
Mailing address
PO BOX 12952, SAN ANTONIO, TX 78212-0952
(210) 527-1166
(210) 527-1163
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
J9353
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
J9353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027BR
BLUE CROSS
TX
05
—
0802886-01
—
TX
01
—
435455AU1C
MEDICARE
TX
Enumeration date
11/02/2006
Last updated
03/12/2018
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