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NPI Code Detail

MEDICARE: ANNU BHALLA

MEDICARE:   ANNU  BHALLA
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
1122300000XDentistD009629AZ

General Provider Information

NPI Number : 1346786985
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNU BHALLA
Provider Business Mailing Address
First Line : 8250 N CORTARO RD STE 110
Second Line :
City : TUCSON
State : AZ
Zip : 85743-7304
Country : US
Telephone Number : 520-477-2233
Fax Number :
Provider Business Practice Location Address
First Line : 8250 N CORTARO RD STE 110
Second Line :
City : TUCSON
State : AZ
Zip : 85743-7304
Country : US
Telephone Number : 520-477-2233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2017
Last Update Date : 01/06/2017

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Directions to “ ANNU BHALLA ” Practice Location

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