Provider Demographics
NPI:1427623719
Name:BHANGAL, RUBAL (MD)
Entity type:Individual
Prefix:DR
First Name:RUBAL
Middle Name:
Last Name:BHANGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10990 BISCAYNE BLVD UNIT 19
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7572
Mailing Address - Country:US
Mailing Address - Phone:305-891-3710
Mailing Address - Fax:305-891-3711
Practice Address - Street 1:10990 BISCAYNE BLVD UNIT 19
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7572
Practice Address - Country:US
Practice Address - Phone:305-891-3710
Practice Address - Fax:305-891-3711
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL165654207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine