Provider Demographics
NPI:1114615101
Name:KAHLON, BHAVJEET KAUR
Entity Type:Individual
Prefix:
First Name:BHAVJEET
Middle Name:KAUR
Last Name:KAHLON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WSU INTERNAL MEDICINE RESIDENCY CENTER
Mailing Address - Street 2:1321 COLBY AVENUE #83-039
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-1665
Mailing Address - Country:US
Mailing Address - Phone:425-297-5234
Mailing Address - Fax:
Practice Address - Street 1:WSU INTERNAL MEDICINE RESIDENCY CENTER
Practice Address - Street 2:1321 COLBY AVENUE #83-039
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1665
Practice Address - Country:US
Practice Address - Phone:425-297-5234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-12-20
Deactivation Date:2023-11-30
Deactivation Code:
Reactivation Date:2023-12-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program