Provider Demographics
NPI:1700885795
Name:SINGH, BRIJESH K (MD)
Entity Type:Individual
Prefix:
First Name:BRIJESH
Middle Name:K
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:PO BOX 30
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:KY
Mailing Address - Zip Code:41230-0030
Mailing Address - Country:US
Mailing Address - Phone:606-638-1154
Mailing Address - Fax:606-638-4502
Practice Address - Street 1:HIGHWAY 644
Practice Address - Street 2:SUITE 104
Practice Address - City:LOUISA
Practice Address - State:KY
Practice Address - Zip Code:41230
Practice Address - Country:US
Practice Address - Phone:606-638-4191
Practice Address - Fax:606-638-4502
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY21036207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYC74076Medicare UPIN
KY1293801Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER