Provider Demographics
NPI:1659829265
Name:MULTANI, BHUPINDER SINGH (FNP)
Entity Type:Individual
Prefix:
First Name:BHUPINDER
Middle Name:SINGH
Last Name:MULTANI
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:BHUPINDER
Other - Middle Name:SINGH
Other - Last Name:MULTANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 601843
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50 MILLER ST STE C
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-4206
Practice Address - Country:US
Practice Address - Phone:336-310-5535
Practice Address - Fax:336-310-1183
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340910-1363LF0000X
AZAP8971363LF0000X
NC5009487363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily