Provider Demographics
NPI:1174585913
Name:SINGH-CRAIGHEAD, ANITA P (MD)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:P
Last Name:SINGH-CRAIGHEAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:29525 CANWOOD ST
Mailing Address - Street 2:STE 210
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4231
Mailing Address - Country:US
Mailing Address - Phone:818-889-4532
Mailing Address - Fax:818-889-4536
Practice Address - Street 1:29525 CANWOOD ST
Practice Address - Street 2:STE 210
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4231
Practice Address - Country:US
Practice Address - Phone:818-889-4532
Practice Address - Fax:818-889-4536
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG72059207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG72059Medicare PIN
CAF77958Medicare UPIN
CAG72059Medicare ID - Type Unspecified