Provider Demographics
NPI:1760634505
Name:BHAR JASWINDAR SINGH, AVINESH SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:AVINESH
Middle Name:SINGH
Last Name:BHAR JASWINDAR SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AVINESH
Other - Middle Name:BHAR
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1140 S JACKSON SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31211-1439
Mailing Address - Country:US
Mailing Address - Phone:478-238-3552
Mailing Address - Fax:478-259-6170
Practice Address - Street 1:1140 S JACKSON SPRINGS RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31211-1439
Practice Address - Country:US
Practice Address - Phone:478-238-3552
Practice Address - Fax:478-259-6170
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA070048207R00000X, 207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I298162Medicare PIN