Provider Demographics
NPI:1366464315
Name:KHAIRA, AMARBIR SINGH (MD)
Entity type:Individual
Prefix:
First Name:AMARBIR
Middle Name:SINGH
Last Name:KHAIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3272
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48605-3272
Mailing Address - Country:US
Mailing Address - Phone:989-797-1400
Mailing Address - Fax:989-797-4077
Practice Address - Street 1:75 BARCLAY CIR STE 208
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5821
Practice Address - Country:US
Practice Address - Phone:248-294-7948
Practice Address - Fax:248-853-3743
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301407306207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1106313002OtherBCBS PIN #
MI110239546OtherRR MEDICARE#
MI3290906Medicaid
MI0M24080Medicare PIN