Provider Demographics
NPI:1265466197
Name:SINGH, JASJIT (MD)
Entity Type:Individual
Prefix:DR
First Name:JASJIT
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7591 FERN AVE STE 1705
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-5749
Mailing Address - Country:US
Mailing Address - Phone:318-550-3398
Mailing Address - Fax:318-550-3481
Practice Address - Street 1:7591 FERN AVE STE 1705
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-5749
Practice Address - Country:US
Practice Address - Phone:318-550-3398
Practice Address - Fax:318-550-3481
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD 2009242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1054224Medicaid