Provider Demographics
NPI:1467716530
Name:BAHIA, SURINDER SINGH (MD)
Entity Type:Individual
Prefix:
First Name:SURINDER
Middle Name:SINGH
Last Name:BAHIA
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 1:100 WILSON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7885
Mailing Address - Country:US
Mailing Address - Phone:831-649-1000
Mailing Address - Fax:
Practice Address - Street 1:450 E ROMIE LN
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4029
Practice Address - Country:US
Practice Address - Phone:831-759-3257
Practice Address - Fax:831-754-3875
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA150215207Q00000X, 208M00000X
NC184103207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1467716530Medicaid
SCNC2634Medicaid
CA1467716530Medicaid
NCNCQ375EMedicare UPIN
SCNC2634Medicaid
NCNCQ375DMedicare UPIN