Provider Demographics
NPI:1568604478
Name:RAI, PAULINDER SINGH (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:PAULINDER
Middle Name:SINGH
Last Name:RAI
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:DR
Other - First Name:PAULINDER
Other - Middle Name:SINGH
Other - Last Name:RAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO, MPH
Mailing Address - Street 1:234 ORINOCO DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTWATERS
Mailing Address - State:NY
Mailing Address - Zip Code:11718-1822
Mailing Address - Country:US
Mailing Address - Phone:631-300-0797
Mailing Address - Fax:
Practice Address - Street 1:234 ORINOCO DR
Practice Address - Street 2:
Practice Address - City:BRIGHTWATERS
Practice Address - State:NY
Practice Address - Zip Code:11718-1822
Practice Address - Country:US
Practice Address - Phone:631-300-0797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252091 1208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400011094Medicare PIN