Provider Demographics
NPI:1184687782
Name:BHANGOO, SARUPINDER SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:SARUPINDER
Middle Name:SINGH
Last Name:BHANGOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SARUP
Other - Middle Name:SINGH
Other - Last Name:BHANGOO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9508 STOCKDALE HWY
Mailing Address - Street 2:SUITE 140 A
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3622
Mailing Address - Country:US
Mailing Address - Phone:661-664-4700
Mailing Address - Fax:661-664-6787
Practice Address - Street 1:9508 STOCKDALE HWY
Practice Address - Street 2:SUITE 140 A
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3622
Practice Address - Country:US
Practice Address - Phone:661-664-4700
Practice Address - Fax:661-664-6787
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA402940174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A402940Medicaid
CA110165425OtherRRMEDICARE
CAA402940OtherMEDICAL LICENSE
CAA402940OtherMEDICAL LICENSE
CAAB3201489OtherDEA