Provider Demographics
NPI:1346380797
Name:BHATIA, GULBIR X (MD)
Entity Type:Individual
Prefix:DR
First Name:GULBIR
Middle Name:X
Last Name:BHATIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SHERWOOD HTS
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-3409
Mailing Address - Country:US
Mailing Address - Phone:845-297-3031
Mailing Address - Fax:
Practice Address - Street 1:26 CENTER CIR
Practice Address - Street 2:TACONIC DEVELOPMENTAL CENTER
Practice Address - City:WASSAIC
Practice Address - State:NY
Practice Address - Zip Code:12592-2637
Practice Address - Country:US
Practice Address - Phone:845-877-6821
Practice Address - Fax:845-877-3680
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159404208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics