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 1:1010 CARONDELET DR
Mailing Address - Street 2:STE 121
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4859
Mailing Address - Country:US
Mailing Address - Phone:816-605-9756
Mailing Address - Fax:636-438-0430
Practice Address - Street 1:2316 E MEYER BLVD
Practice Address - Street 2:1 CANCER WEST
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1136
Practice Address - Country:US
Practice Address - Phone:816-276-4700
Practice Address - Fax:816-276-3810
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2002013739207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100422980FMedicaid
KS100422980 DMedicaid
KS100422980EMedicaid
MO1093747677Medicaid
MO205876402Medicaid
MOP00662386Medicare PIN
MO1093747677Medicaid
KS100422980 DMedicaid
KSKA1450004Medicare PIN
MOS33000002Medicare PIN
KSP00729471Medicare PIN
MOMA1794002Medicare PIN