Provider Demographics
NPI:1427218494
Name:TRENTON OB GYN GROUP PLLC
Entity Type:Organization
Organization Name:TRENTON OB GYN GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHINDER
Authorized Official - Middle Name:P
Authorized Official - Last Name:SINGH SANDHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-671-3248
Mailing Address - Street 1:3851 WEST RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-2350
Mailing Address - Country:US
Mailing Address - Phone:734-671-3248
Mailing Address - Fax:734-671-1819
Practice Address - Street 1:3851 WEST RD
Practice Address - Street 2:SUITE 1
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-2350
Practice Address - Country:US
Practice Address - Phone:734-671-3248
Practice Address - Fax:734-671-1819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301036206207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty