Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME75691 | FL |
Y | 111NI0900X | Internist | ME75691 | FL |
N | 207RA0401X | Internist - Addiction Medicine | ME75691 | FL |
N | 207RS0012X | Sleep Medicine | ME75691 | FL |
NPI | 1821089764 |
---|---|
Provider Name | Dr. Harbinder Singh Ghulldu |
First Address | Orlando, FL 32819-7218 |
Second Address | Orlando, FL 32819-7218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 18/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
260890100 | (05) | FL |
G13938 | (02) | FL |