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Individual
DR. JAGMINDER SINGH BHALLA
Active
Individual
DR. JAGMINDER SINGH BHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A25813
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A25813
CA
207RP1001X
Pulmonary Disease Physician
A25813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM972A
MEDICARE ID
CA
05
—
GR0021080
—
CA
Enumeration date
04/11/2006
Last updated
10/18/2019
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