Sudarshan Kumar Singla, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD036553L Issued in PA

Practice address

13 S 7TH St
Pocono Laser Center
Stroudsburg, PA 18360-2007

Phone

(570) 424-8489

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1467448597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 S 7TH ST",
            "address_2": "POCONO LASER CENTER",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602007",
            "telephone_number": "570-424-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 S 7TH ST",
            "address_2": "POCONO LASER CENTER",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602007",
            "telephone_number": "570-424-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLA",
        "first_name": "SUDARSHAN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD036553L",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD036553L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010309710003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "SIN612521",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Shivock, LAT ATC
• Dennis Shrive
• Mina Siddiqui
• Thomas Simanski, DNP
• Payal Singh, DDS
• Sisters in Action Complete LLC (S.I.A.C. Home Care Agency)
• Jacinta Ann Smedley
• Ashley Margaret Smith, PHARM.D.
• Colleen Marie Smith, LPTA
• Denise Smith, ATC, LAT

• General Practice Physician in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.