Provider Demographics
NPI:1467750851
Name:BEDI, HARVINDER SINGH (MD)
Entity Type:Individual
Prefix:
First Name:HARVINDER
Middle Name:SINGH
Last Name:BEDI
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 1:3815 E BELL RD STE 2700
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2155
Mailing Address - Country:US
Mailing Address - Phone:602-714-6970
Mailing Address - Fax:602-714-5176
Practice Address - Street 1:3815 E BELL RD STE 2700
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2155
Practice Address - Country:US
Practice Address - Phone:602-428-2116
Practice Address - Fax:602-482-9563
Is Sole Proprietor?:No
Enumeration Date:2011-03-09
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46253207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5550830001OtherMEDICARE NSC SCW
AZ5550830010OtherMEDICARE NSC GILBERT
AZ5550830003OtherMEDICARE NSC PEORIA
AZ5550830007OtherMEDICARE NSC DV
AZ689281Medicaid
AZZ154741Medicare PIN