Provider Demographics
NPI:1497251912
Name:AJITPAL SINGH TIWANA M.D
Entity Type:Organization
Organization Name:AJITPAL SINGH TIWANA M.D
Other - Org Name:AJITPAL SINGH TIWANA M.D
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AJITPAL
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:TIWANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-325-5513
Mailing Address - Street 1:2700 F ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1849
Mailing Address - Country:US
Mailing Address - Phone:661-325-5513
Mailing Address - Fax:661-325-3304
Practice Address - Street 1:2700 F ST STE 100
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1849
Practice Address - Country:US
Practice Address - Phone:661-325-5513
Practice Address - Fax:661-325-3304
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AJITPAL SINGH TIWANA M.D
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42864207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherKERN HEALTH SYSTEMS