Healthcare Provider Details

I. General information

NPI: 1639099302
Provider Name (Legal Business Name): GURMAN BHULLAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3230 BEECHER RD STE 2
FLINT MI
48532-3604
US

IV. Provider business mailing address

19126 PINE LEDGE DR
BROWNSTOWN MI
48193-7495
US

V. Phone/Fax

Practice location:
  • Phone: 810-342-5800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4351055968
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: