Provider Demographics
NPI:1356357230
Name:SINGH, GURINDER (MD)
Entity type:Individual
Prefix:
First Name:GURINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6000 M LEAVENWORTH RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66104
Mailing Address - Country:US
Mailing Address - Phone:913-299-0089
Mailing Address - Fax:913-299-0873
Practice Address - Street 1:155 SOUTH 18TH STREET
Practice Address - Street 2:SUITE 220
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102
Practice Address - Country:US
Practice Address - Phone:913-321-7327
Practice Address - Fax:913-321-3168
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0421208207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS421018OtherBCBS OF KANSAS
MO19898056OtherBCBS OF KC
E50482Medicare UPIN
KSF434636Medicare PIN