Provider Demographics
NPI:1174590681
Name:SINGH, MADHVENDRA (MD)
Entity type:Individual
Prefix:DR
First Name:MADHVENDRA
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BLUE HILLS MEDICAL ASSOCIATES
Mailing Address - Street 2:340 WOOD ROAD
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184
Mailing Address - Country:US
Mailing Address - Phone:781-849-1111
Mailing Address - Fax:781-794-2288
Practice Address - Street 1:BLUE HILLS MEDICAL ASSOCIATES
Practice Address - Street 2:340 WOOD ROAD
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184
Practice Address - Country:US
Practice Address - Phone:781-849-1111
Practice Address - Fax:781-794-2288
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80938207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA69719OtherHARVARD PILGRIM NUMBER
MA0403207OtherUNITED HEALTHCARE #
MA3168875Medicaid
MAB10325801OtherCIGNA NUMBER
MA2345691OtherAETNA NUMBER
MA773330OtherTUFTS NUMBER
MAJ17965OtherBLUE SHIELD NUMBER
MA69719OtherHARVARD PILGRIM NUMBER
MA3168875Medicaid