Individual
VIJAY SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 ROOSEVELT RD, NIAGARA, WI 54151-1043
(888) 724-6377
(715) 251-1681
Mailing address
1601 ROOSEVELT RD, PO BOX 6, NIAGARA, WI 54151-1043
(888) 724-6377
(715) 251-1681
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
34886
WI
208VP0014X
Interventional Pain Medicine Physician
4301055155
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050049958
RAILROAD MEDICARE
MI
01
—
050049959
RAILROAD MEDICARE
WI
01
—
050B210120
BCBS
MI
01
—
1008929
PREFERRED ONE
—
05
—
31536700
—
WI
01
—
391867916010
BCBS
WI
Enumeration date
01/27/2006
Last updated
04/19/2016
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