MEDICARE: DR. JATINDER 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	2085R0202X	Diagnostic Radiology Physician	160785	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00219558	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1902806292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JATINDER SINGH M.D.

Provider Business Mailing Address
First Line	:	1000 ZECKENDORF BLVD
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530
Country	:	US
Telephone Number	:	516-542-6880
Fax Number	:	516-542-5556

Provider Business Practice Location Address
First Line	:	300 BAYSHORE RD
Second Line	:
City	:	NORTH BABYLON
State	:	NY
Zip	:	11703
Country	:	US
Telephone Number	:	631-586-2700
Fax Number	:	631-471-1117

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	10/28/2011

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