Provider Demographics
NPI:1932311958
Name:BHANGOO, JASPAUL SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:JASPAUL
Middle Name:SINGH
Last Name:BHANGOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JASPAUL
Other - Middle Name:SINGH
Other - Last Name:BHANGOO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3323 COLORADO BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6867
Mailing Address - Country:US
Mailing Address - Phone:940-891-6066
Mailing Address - Fax:940-891-0515
Practice Address - Street 1:3323 COLORADO BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6867
Practice Address - Country:US
Practice Address - Phone:940-891-6066
Practice Address - Fax:940-891-0515
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5054207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202190901Medicaid
TX8AE350OtherBCBS
TX202190901Medicaid