Provider Demographics
NPI:1770844458
Name:BHOLAH, RESHMA (MD)
Entity Type:Individual
Prefix:
First Name:RESHMA
Middle Name:
Last Name:BHOLAH
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:AL FARDAN TOWER
Mailing Address - Street 2:APARTMENT 95
Mailing Address - City:WEST BAY
Mailing Address - State:DOHA
Mailing Address - Zip Code:26666
Mailing Address - Country:QA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:WEILL CORNELL MEDICINE - QATAR
Practice Address - Street 2:QATAR FOUNDATION - EDUCATION CITY
Practice Address - City:DOHA
Practice Address - State:N/A
Practice Address - Zip Code:24144
Practice Address - Country:QA
Practice Address - Phone:974-492-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program