Provider Demographics
NPI:1609890771
Name:SINGH, JAI (MD)
Entity Type:Individual
Prefix:
First Name:JAI
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1496 SAINT JOHNS PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-3911
Mailing Address - Country:US
Mailing Address - Phone:718-552-2021
Mailing Address - Fax:718-552-2023
Practice Address - Street 1:1496 SAINT JOHNS PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-3911
Practice Address - Country:US
Practice Address - Phone:718-552-2021
Practice Address - Fax:718-552-2023
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY174901207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF26531Medicare UPIN