Individual
DR. SUBHASH C KHULLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1629 W BIG BEAVER RD, TROY, MI 48084-3542
(586) 274-0123
(586) 274-1125
Mailing address
2632 S ROCHESTER RD, UNIT 70306, ROCHESTER HILLS, MI 48307-7914
(586) 274-0123
(586) 274-1125
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301040148
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110500486
BCBS
MI
05
—
4752166
—
MI
Enumeration date
10/10/2005
Last updated
09/18/2018
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