Provider Demographics
NPI:1114926847
Name:SINGH, BARJINDER (MD)
Entity Type:Individual
Prefix:
First Name:BARJINDER
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 1:2001 N JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2338
Mailing Address - Country:US
Mailing Address - Phone:903-577-6000
Mailing Address - Fax:
Practice Address - Street 1:2101 MULBERRY AVE
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-1105
Practice Address - Country:US
Practice Address - Phone:903-434-4850
Practice Address - Fax:903-434-4899
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2024-04-22
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-04-05
Provider Licenses
StateLicense IDTaxonomies
GA039236207RH0003X
MO2017021022207RH0003X
TXPHYSTEMP207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1114926847Medicaid
GA52671236OtherBCBS
GA00764717DMedicaid
GA1114926847OtherRR MEDICARE PART B
GA1114926847OtherRR MEDICARE PART B
GA90BDBHNMedicare ID - Type Unspecified