Individual
MAGAN SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18765-0999
(570) 346-7797
(570) 342-9802
Mailing address
3998 FAIR RIDGE DRIVE - SUITE 300, FAIRFAX, VA 22033
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD052217L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050083806
RR MEDICARE
—
05
—
1479141
—
PA
Enumeration date
11/25/2005
Last updated
04/14/2015
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