Provider Demographics
NPI:1609093590
Name:NAGRA, BIPINPREET SINGH (MD)
Entity Type:Individual
Prefix:
First Name:BIPINPREET
Middle Name:SINGH
Last Name:NAGRA
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 1:40 FULD ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-5247
Mailing Address - Country:US
Mailing Address - Phone:609-396-1644
Mailing Address - Fax:609-394-9526
Practice Address - Street 1:40 FULD ST
Practice Address - Street 2:SUITE 400
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-5247
Practice Address - Country:US
Practice Address - Phone:609-396-1644
Practice Address - Fax:609-394-9526
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35089774207RI0011X, 207RC0000X
KY40892207RC0000X
NJ25MA08720200207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810010626Medicaid
KY7100016120Medicaid
OH2764021Medicaid
NJP00934599OtherRAILROAD
OHP00432357OtherRAILROAD
KYP00431667OtherRAILROAD
KY0728210Medicare PIN
NJP00934599OtherRAILROAD
OH4214621Medicare PIN
OH4214622Medicare PIN
KY00788019Medicare PIN