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NPI Code Detail

MEDICARE: DR. PARDEEP SINGH BHULLAR M.D.

MEDICARE:  DR. PARDEEP SINGH BHULLAR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianA615370CA
2207R00000XInternal Medicine PhysicianA615370CA
3207RC0200XCritical Care Medicine (Internal Medicine) PhysicianA615370CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063419364
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PARDEEP SINGH BHULLAR M.D.
Provider Business Mailing Address
First Line : 1975 N JASMINE AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93619-2801
Country : US
Telephone Number : 559-696-8046
Fax Number :
Provider Business Practice Location Address
First Line : 7370 N PALM AVE STE 101
Second Line :
City : FRESNO
State : CA
Zip : 93711-5782
Country : US
Telephone Number : 559-696-8046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 06/07/2022

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Directions to “ DR. PARDEEP SINGH BHULLAR M.D.” Practice Location

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