Provider Demographics
NPI:1912984501
Name:SINGH, BIJAI BAHADUR (MD)
Entity Type:Individual
Prefix:DR
First Name:BIJAI
Middle Name:BAHADUR
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 1:1177 S 6TH ST
Mailing Address - Street 2:STE A
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701
Mailing Address - Country:US
Mailing Address - Phone:724-465-2631
Mailing Address - Fax:724-465-2632
Practice Address - Street 1:1177 S 6TH ST
Practice Address - Street 2:STE A
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701
Practice Address - Country:US
Practice Address - Phone:724-465-2631
Practice Address - Fax:724-465-2632
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016002E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C32761Medicare UPIN
173316Medicare ID - Type Unspecified