MEDICARE: ANCHAL BAHL

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
1	372500000X	Chore Provider	5553	FL

General Provider Information

NPI Number	:	1124770797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANCHAL BAHL

Provider Business Mailing Address
First Line	:	6051 NW 60TH AVE
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33067-4452
Country	:	US
Telephone Number	:	954-309-1249
Fax Number	:

Provider Business Practice Location Address
First Line	:	432 SF ST
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-4314
Country	:	US
Telephone Number	:	954-309-1249
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2022
Last Update Date	:	01/24/2022

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Directions to “ ANCHAL BAHL ” Practice Location

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