MEDICARE: TRIPTPAL SINGH SANGHERA 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	207Q00000X	Family Medicine Physician	4301110712	MI

General Provider Information

NPI Number	:	1598211823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRIPTPAL SINGH SANGHERA M.D.

Provider Business Mailing Address
First Line	:	1447 N HARRISON ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-4727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 WILDER RD STE 150
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-9602
Country	:	US
Telephone Number	:	989-671-5805
Fax Number	:	989-583-1582

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

Provider Enumeration Date	:	08/28/2016
Last Update Date	:	08/02/2021

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