Provider Demographics
NPI:1124289558
Name:SINGH, TAJINDERPAL (MD)
Entity type:Individual
Prefix:DR
First Name:TAJINDERPAL
Middle Name:
Last Name:SINGH
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 1:2865 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-3140
Mailing Address - Country:US
Mailing Address - Phone:716-262-0616
Mailing Address - Fax:716-262-0631
Practice Address - Street 1:2865 GENESEE ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-3140
Practice Address - Country:US
Practice Address - Phone:716-262-0616
Practice Address - Fax:716-262-0631
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263416207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03418820Medicaid
NY03418820Medicaid
J400224380Medicare PIN