Provider Demographics
NPI:1255336244
Name:BHULLAR-BAL, RAMNEET (MD)
Entity type:Individual
Prefix:DR
First Name:RAMNEET
Middle Name:
Last Name:BHULLAR-BAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAMNEET
Other - Middle Name:
Other - Last Name:BHULLAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2092 COWAN HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-2446
Mailing Address - Country:US
Mailing Address - Phone:931-967-5104
Mailing Address - Fax:931-967-5179
Practice Address - Street 1:2092 COWAN HWY
Practice Address - Street 2:SUITE B
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2446
Practice Address - Country:US
Practice Address - Phone:931-967-5104
Practice Address - Fax:931-967-5179
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2010-03-04
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-04-06
Provider Licenses
StateLicense IDTaxonomies
TN36882174400000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3878648Medicaid
TN3878648Medicare ID - Type Unspecified
TN3878648Medicaid