MEDICARE: DR. JASJOT PAUL SINGH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME79089	FL
2	207R00000X	Internal Medicine Physician	035972	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3781285	OTHER	TN	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134175938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASJOT PAUL SINGH M.D.

Provider Business Mailing Address
First Line	:	3319 JUNIPER LN
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-1354
Country	:	US
Telephone Number	:	954-835-5495
Fax Number	:

Provider Business Practice Location Address
First Line	:	4478 WESTON RD
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33331-3195
Country	:	US
Telephone Number	:	954-406-2887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	02/06/2023

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