Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 30019 | AZ |
NPI | 1053305896 |
---|---|
Provider Name | Bhupinder Singh |
First Address | Tempe, AZ 85284-3494 |
Second Address | Tempe, AZ 85284-3493 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 19/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
643660 | (05) | AZ |
G96196 | (02) | AZ |
Z147324 | BANNER MD ANDERSON CANCER CENTER (01) | AZ |