Provider Demographics
NPI:1346270113
Name:BHAJAL, SUKHVINDER (DR)
Entity Type:Individual
Prefix:
First Name:SUKHVINDER
Middle Name:
Last Name:BHAJAL
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5120 W CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8303
Mailing Address - Country:US
Mailing Address - Phone:559-635-4800
Mailing Address - Fax:559-635-4844
Practice Address - Street 1:5120 W CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-8303
Practice Address - Country:US
Practice Address - Phone:559-635-4800
Practice Address - Fax:559-635-4844
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301087431207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
154347Medicare UPIN