Provider Demographics
NPI:1982448577
Name:BHULLAR, RAVINDER K
Entity type:Individual
Prefix:
First Name:RAVINDER
Middle Name:K
Last Name:BHULLAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RAVINDER
Other - Middle Name:K
Other - Last Name:BHULLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1093 11TH ST
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2950
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1093 11TH ST
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2950
Practice Address - Country:US
Practice Address - Phone:559-743-7340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-19
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95030465363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner