Provider Demographics
NPI:1386453595
Name:BHAMBRA, ANOOP
Entity type:Individual
Prefix:
First Name:ANOOP
Middle Name:
Last Name:BHAMBRA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4675 W 130TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-3758
Mailing Address - Country:US
Mailing Address - Phone:216-401-1049
Mailing Address - Fax:
Practice Address - Street 1:4675 W 130TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44135-3758
Practice Address - Country:US
Practice Address - Phone:216-401-1049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332U00000XSuppliersHome Delivered Meals