Provider Demographics
NPI:1306803572
Name:BENIPAL, PARAMJIT SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:PARAMJIT
Middle Name:SINGH
Last Name:BENIPAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PJ
Other - Middle Name:S
Other - Last Name:BENIPAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:361 TOWN CENTER WEST SUITE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458
Mailing Address - Country:US
Mailing Address - Phone:805-347-7355
Mailing Address - Fax:805-347-7354
Practice Address - Street 1:361 TOWN CENTER WEST SUITE 101
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458
Practice Address - Country:US
Practice Address - Phone:805-922-6581
Practice Address - Fax:805-348-3217
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64620207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA64620OtherSTATE LICENSE
CA00A646200Medicaid
CA00A646200Medicaid
H66033Medicare UPIN