Provider Demographics
NPI:1013760644
Name:BHULLAR, GURIQBAL SINGH (DO)
Entity Type:Individual
Prefix:
First Name:GURIQBAL
Middle Name:SINGH
Last Name:BHULLAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8171 PERRIN AVE
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-1653
Mailing Address - Country:US
Mailing Address - Phone:734-612-1717
Mailing Address - Fax:
Practice Address - Street 1:8171 PERRIN AVE
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-1653
Practice Address - Country:US
Practice Address - Phone:734-612-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program