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Individual
DR. JAGDEEP SINGH BAL
Active
Individual
DR. JAGDEEP SINGH BAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A84035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A840350
BLUE SHIELD PIN #
CA
05
—
1548252703
—
CA
01
—
DL880Y
MEDICARE PTAN - YUBA SUTTER HOSPITALIST GROUP
CA
01
—
DL880Z
MEDICARE PTAN - AMPLA HEALTH AT OROVILLE FAMILY HEALTH CENTER
CA
Enumeration date
08/15/2005
Last updated
03/23/2015
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