Provider Demographics
NPI:1598869950
Name:SINGH, GURI (MD)
Entity Type:Individual
Prefix:
First Name:GURI
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GURBAKSHISH
Other - Middle Name:SINGH
Other - Last Name:BAGGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8380 ZUNI ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-4778
Mailing Address - Country:US
Mailing Address - Phone:303-452-9577
Mailing Address - Fax:303-452-9890
Practice Address - Street 1:8380 ZUNI STREET
Practice Address - Street 2:SUITE 305
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80221
Practice Address - Country:US
Practice Address - Phone:303-452-9577
Practice Address - Fax:303-452-9890
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27672207R00000X, 207RA0401X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01276724Medicaid
CO01276724Medicaid
COC6721Medicare ID - Type Unspecified