Provider Demographics
NPI:1487629564
Name:BIR, ARVINDER SINGH (MD)
Entity Type:Individual
Prefix:
First Name:ARVINDER
Middle Name:SINGH
Last Name:BIR
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:PO BOX 732
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-0732
Mailing Address - Country:US
Mailing Address - Phone:760-324-1700
Mailing Address - Fax:760-324-1799
Practice Address - Street 1:35400 BOB HOPE DR STE 203
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1774
Practice Address - Country:US
Practice Address - Phone:760-324-1700
Practice Address - Fax:760-324-1799
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91355207Q00000X
PAMD417446207Q00000X
WV21841207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH52733Medicare UPIN