Individual
DR. INDERJIT SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11155 DUNN RD, SUITE 207N, SAINT LOUIS, MO 63136-6149
(314) 736-6590
(314) 736-4359
Mailing address
PO BOX 1125, MARYLAND HEIGHTS, MO 63043-0125
(314) 432-2580
(314) 432-0223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-090622
IL
174400000X
Specialist
112064
MO
207RN0300X
Nephrology Physician
036-090622
IL
207RN0300X
Nephrology Physician
Primary
112064
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090622
—
IL
01
—
103507
GHP
MO
01
—
115370
BLUE CROSS BLUE SHIELD
MO
05
—
208648808
—
MO
01
—
279894
HEALTHLINK
MO
01
—
3100060
UNITED HEALTH CARE
MO
01
—
37151
CMR
MO
01
—
390008089
RAILROAD MEDICARE
MO
Enumeration date
02/23/2006
Last updated
03/10/2022
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