Bhalla, Ravi

Bhalla, Ravi is an sole proprietor health care provider with primary practice located at 13943 N. 91St Ave Building I, Peoria AZ 85381-3692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bhalla, Ravi can be contacted via phone (623) 815-2690.

Contact Information

Primary practice address
13943 N. 91St Ave Building I Peoria AZ 85381-3692
Fax: (623) 815-2689
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 22399 Arizona

Profile Details

NPI number 1174512263
LBN Legal business name Bhalla, Ravi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Jun 1st, 2009 - about 16 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 1174512263 NPPES
Arizona Other 22399 LICENSE
Arizona MEDICAID 172651 LICENSE

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