Provider Demographics
NPI:1215038328
Name:BAKHRU, ARUNA (MD,FACP)
Entity Type:Individual
Prefix:DR
First Name:ARUNA
Middle Name:
Last Name:BAKHRU
Suffix:
Gender:F
Credentials:MD,FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 OLD FARMS RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-5005
Mailing Address - Country:US
Mailing Address - Phone:845-463-1044
Mailing Address - Fax:845-463-1043
Practice Address - Street 1:22 IBM RD
Practice Address - Street 2:SUITE 104B
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5455
Practice Address - Country:US
Practice Address - Phone:845-463-1044
Practice Address - Fax:845-463-1043
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174970207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02G101Medicare ID - Type Unspecified