Provider Demographics
NPI:1043837743
Name:BHATIA, KULSAJAN SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:KULSAJAN
Middle Name:SINGH
Last Name:BHATIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 CLARKSON AVE. SUNY DOWNSTATE MEDICAL CENTER
Mailing Address - Street 2:450 CLARKSON AVE PEDIATRICS DEPARTMENT- SUITE D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2098
Mailing Address - Country:US
Mailing Address - Phone:917-214-9882
Mailing Address - Fax:718-270-1985
Practice Address - Street 1:450 CLARKSON AVE 1203-2098 SUNY DOWNSTATE
Practice Address - Street 2:SUITE -D DEPARTMENT OF PEDIATRICS
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2098
Practice Address - Country:US
Practice Address - Phone:718-270-2078
Practice Address - Fax:718-270-1985
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2022-02-11
Deactivation Date:2022-01-17
Deactivation Code:
Reactivation Date:2022-02-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program