Provider Demographics
NPI:1760489025
Name:BRAR, BALHINDER SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:BALHINDER
Middle Name:SINGH
Last Name:BRAR
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 1:2222 CHERRY ST
Mailing Address - Street 2:STE 1700
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2681
Mailing Address - Country:US
Mailing Address - Phone:419-251-4647
Mailing Address - Fax:419-251-6527
Practice Address - Street 1:2222 CHERRY ST
Practice Address - Street 2:STE 1700
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2681
Practice Address - Country:US
Practice Address - Phone:419-251-4647
Practice Address - Fax:419-251-6527
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35085047207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4806632Medicaid
OH000000357340OtherANTHEM
OH2012176OtherUNITED HEALTHCARE
OH728224Medicaid
OH04642OtherPARAMOUNT
OH2507120Medicaid
OH4146091Medicare PIN
OH000000357340OtherANTHEM
OH2507120Medicaid
OHH16352Medicare UPIN
OH4146903Medicare PIN