Provider Demographics
NPI:1992558886
Name:BHANDOHAL, DEEPINDER KAUR
Entity type:Individual
Prefix:
First Name:DEEPINDER
Middle Name:KAUR
Last Name:BHANDOHAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6007 BROOKLYN AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9678
Mailing Address - Country:US
Mailing Address - Phone:661-444-4465
Mailing Address - Fax:
Practice Address - Street 1:3409 CALLOWAY DR UNIT 601
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2534
Practice Address - Country:US
Practice Address - Phone:661-589-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95029426363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health