Provider Demographics
NPI:1093747677
Name:SINGH, JASWINDER (MD)
Entity type:Individual
Prefix:
First Name:JASWINDER
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:PO BOX 749495
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9495
Mailing Address - Country:US
Mailing Address - Phone:855-963-2100
Mailing Address - Fax:813-321-1296
Practice Address - Street 1:2316 E MEYER BLVD
Practice Address - Street 2:1 EAST
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1136
Practice Address - Country:US
Practice Address - Phone:816-974-5050
Practice Address - Fax:816-683-7645
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002013739207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100422980EMedicaid
MO1093747677Medicaid
MO205876402Medicaid
KS100422980 DMedicaid
KS100422980FMedicaid
MOP00662386Medicare PIN
MO1093747677Medicaid
KS100422980 DMedicaid
KSKA1450004Medicare PIN
MOS33000002Medicare PIN
KSP00729471Medicare PIN
MOMA1794002Medicare PIN