Provider Demographics
NPI:1609842434
Name:SINGH, INDERJIT (MD)
Entity Type:Individual
Prefix:DR
First Name:INDERJIT
Middle Name:
Last Name:SINGH
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 1125
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-0125
Mailing Address - Country:US
Mailing Address - Phone:314-432-2580
Mailing Address - Fax:314-432-0223
Practice Address - Street 1:11155 DUNN RD
Practice Address - Street 2:SUITE 207N
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-6149
Practice Address - Country:US
Practice Address - Phone:314-736-6590
Practice Address - Fax:314-736-4359
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112064174400000X, 207RN0300X
IL036-090622174400000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO115370OtherBLUE CROSS BLUE SHIELD
IL036090622Medicaid
MO37151OtherCMR
MO103507OtherGHP
MO3100060OtherUNITED HEALTH CARE
MO208648808Medicaid
MO279894OtherHEALTHLINK
MO390008089OtherRAILROAD MEDICARE
MO279894OtherHEALTHLINK
MO3100060OtherUNITED HEALTH CARE
MO103507OtherGHP