Provider Demographics
NPI:1194763029
Name:KAINTH, INDERJIT SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:INDERJIT
Middle Name:SINGH
Last Name:KAINTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3270 STATE ROUTE 27
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-1496
Mailing Address - Country:US
Mailing Address - Phone:732-616-2863
Mailing Address - Fax:
Practice Address - Street 1:3270 STATE ROUTE 27
Practice Address - Street 2:SUITE 1300
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1496
Practice Address - Country:US
Practice Address - Phone:732-940-7777
Practice Address - Fax:732-940-7736
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2014-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAO7270600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0044164Medicaid
NJ0044164Medicaid
051906TASMedicare ID - Type Unspecified