Healthcare Provider Details

I. General information

NPI: 1427430123
Provider Name (Legal Business Name): SAURABH JAGDISHBHAI SINGHAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5247 DIDESSE DR
BATON ROUGE LA
70808-9153
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 225-215-2193
  • Fax: 225-215-2194
Mailing address:
  • Phone: 225-215-2193
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number324454
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number11018455A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: