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NPI Code Detail

MEDICARE: JASPINDERPAL SINGH BHULLAR

MEDICARE:   JASPINDERPAL SINGH BHULLAR
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician324731NY

General Provider Information

NPI Number : 1487275749
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASPINDERPAL SINGH BHULLAR
Provider Business Mailing Address
First Line : 2466 KING FISHER LN
Second Line :
City : NIAGARA FALLS
State : NY
Zip : 14304-4678
Country : US
Telephone Number : 716-930-3358
Fax Number :
Provider Business Practice Location Address
First Line : 1430 COLVIN BLVD
Second Line :
City : BUFFALO
State : NY
Zip : 14223-1440
Country : US
Telephone Number : 716-874-4060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2020
Last Update Date : 07/06/2023

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Directions to “ JASPINDERPAL SINGH BHULLAR ” Practice Location

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