MEDICARE: JASVINDER 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	D0086396	MD
2	207RP1001X	Pulmonary Disease Physician	D0086396	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	278287	OTHER	NY	NYS LICENSE

General Provider Information

NPI Number	:	1679865216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASVINDER SINGH M.D.

Provider Business Mailing Address
First Line	:	315 S MANNING BLVD
Second Line	:	HOSPITALIST UNIT
City	:	ALBANY
State	:	NY
Zip	:	12208-1707
Country	:	US
Telephone Number	:	518-687-1960
Fax Number	:	518-687-1970

Provider Business Practice Location Address
First Line	:	9103 FRANKLIN SQUARE DR STE 300
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21237-3939
Country	:	US
Telephone Number	:	410-682-5282
Fax Number	:

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

Provider Enumeration Date	:	05/13/2011
Last Update Date	:	12/17/2018

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