Provider Demographics
NPI:1053636944
Name:BAL, TEJINDER SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:TEJINDER
Middle Name:SINGH
Last Name:BAL
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 1:3642 TIPPECANOE PL
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9531
Mailing Address - Country:US
Mailing Address - Phone:330-519-5258
Mailing Address - Fax:
Practice Address - Street 1:3642 TIPPECANOE PL
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9531
Practice Address - Country:US
Practice Address - Phone:330-519-5258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-02
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.036034207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease