Basic Information
| Provider Information | |||||||||
| NPI: | 1386977742 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | JATINDER | ||||||||
| MiddleName: | PAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2910 S GREENFIELD RD | ||||||||
| Address2: | APT# 2069 | ||||||||
| City: | GILBERT | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852952176 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6023846118 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10401 W THUNDERBIRD BLVD | ||||||||
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| City: | SUN CITY | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853513004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6238765622 | ||||||||
| FaxNumber: | 6238152931 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2009 | ||||||||
| LastUpdateDate: | 07/07/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 41946 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0002X | 41946 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine |
No ID Information.