Bhalla, Rajneesh K

Bhalla, Rajneesh K is an sole proprietor health care provider with primary practice located at 1701 Se Hillmoor Dr Suite C-12, Port Saint Lucie FL 34952-7541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bhalla, Rajneesh K can be contacted via phone (772) 398-8844.

Contact Information

Primary practice address
1701 Se Hillmoor Dr Suite C-12 Port Saint Lucie FL 34952-7541
Phone: (772) 398-8844
Fax: (772) 398-0012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME71005 Florida

Profile Details

NPI number 1326062167
LBN Legal business name Bhalla, Rajneesh K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Nov 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326062167 NPPES
Florida MEDICAID 009389600

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