Provider Demographics
NPI:1710459862
Name:RPS SHERGILL MD PLLC
Entity Type:Organization
Organization Name:RPS SHERGILL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAVINDER
Authorized Official - Middle Name:PAL SINGH
Authorized Official - Last Name:SHERGILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-679-7103
Mailing Address - Street 1:20332 E REICH CT
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-8233
Mailing Address - Country:US
Mailing Address - Phone:503-679-7031
Mailing Address - Fax:503-925-3019
Practice Address - Street 1:1751 E GARDNER WAY
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-6564
Practice Address - Country:US
Practice Address - Phone:503-679-7031
Practice Address - Fax:503-925-3019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty