Provider Demographics
NPI:1740490507
Name:VIRK, BHUPINDER SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:BHUPINDER
Middle Name:SINGH
Last Name:VIRK
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 1:32422 MONTEREY DR
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-5151
Mailing Address - Country:US
Mailing Address - Phone:510-590-6898
Mailing Address - Fax:
Practice Address - Street 1:15035 E 14TH ST STE G
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-1901
Practice Address - Country:US
Practice Address - Phone:510-363-8882
Practice Address - Fax:510-363-8113
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98707207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine