Provider Demographics
NPI:1982430518
Name:JASPREET SINGH NANRA MD INC
Entity type:Organization
Organization Name:JASPREET SINGH NANRA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASPREET
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:NANRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-789-3094
Mailing Address - Street 1:8244 BONITO CIR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-6273
Mailing Address - Country:US
Mailing Address - Phone:510-789-3094
Mailing Address - Fax:
Practice Address - Street 1:927 O ST
Practice Address - Street 2:
Practice Address - City:FIREBAUGH
Practice Address - State:CA
Practice Address - Zip Code:93622-2220
Practice Address - Country:US
Practice Address - Phone:510-789-3094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center