Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 34233 | SC |
NPI | 1164662318 |
---|---|
Provider Name | Parampal Singh Bhullar |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29615-6300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2009 |
Last Update Date | 26/01/2018 |