Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A172631 | CA |
NPI | 1205222445 |
---|---|
Provider Name | Nuvpreet S Bhandal |
First Address | Carmichael, CA 95608-6337 |
Second Address | Carmichael, CA 95608-6337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2015 |
Last Update Date | 09/08/2021 |