Individual
EMILY-RAE REED SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-7477
(574) 647-3655
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073914A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162520019
MEDICARE PTAN
IN
05
—
201227380
—
IN
01
—
23353003
MEDICARE PTAN
IN
Enumeration date
02/06/2007
Last updated
04/05/2021
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