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NPI Code Detail

MEDICARE: AMANPREET S BHULLAR MD

MEDICARE:   AMANPREET S BHULLAR  MD
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
1207V00000XObstetrics & Gynecology PhysicianME0086331FL

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 : 1336143270
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANPREET S BHULLAR MD
Provider Business Mailing Address
First Line : 235 N WESTMONTE DR
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-3345
Country : US
Telephone Number : 407-389-5300
Fax Number : 407-389-5363
Provider Business Practice Location Address
First Line : 9679 LAKE NONA VILLAGE PL
Second Line : SUITE 101
City : ORLANDO
State : FL
Zip : 32827-7310
Country : US
Telephone Number : 407-277-9242
Fax Number : 407-636-7805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/27/2016

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