Provider Demographics
NPI:1750304671
Name:SAINI, SURINDER SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:SURINDER
Middle Name:SINGH
Last Name:SAINI
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 13278
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92658-5091
Mailing Address - Country:US
Mailing Address - Phone:949-650-5155
Mailing Address - Fax:949-644-2001
Practice Address - Street 1:1441 AVOCADO AVE
Practice Address - Street 2:SUITE 807
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7721
Practice Address - Country:US
Practice Address - Phone:949-650-5155
Practice Address - Fax:949-644-2001
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50364207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF53674Medicare UPIN
CAA50364Medicare ID - Type Unspecified