Provider Demographics
NPI:1255906616
Name:BAHNIWAL, RUPINDER KAUR (MBBS)
Entity type:Individual
Prefix:
First Name:RUPINDER
Middle Name:KAUR
Last Name:BAHNIWAL
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INOVA FAIRFAX MEDICAL CAMPUS, GME CARDIOLOGY FELLOWSHIP
Mailing Address - Street 2:SUPPORT SERVICES BLDG, 3300 GALLOWS ROAD
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042
Mailing Address - Country:US
Mailing Address - Phone:757-446-7934
Mailing Address - Fax:
Practice Address - Street 1:INOVA FAIRFAX MEDICAL CAMPUS, GME CARDIOLOGY FELLOWSHIP
Practice Address - Street 2:SUPPORT SERVICES BLDG, 3300 GALLOWS ROAD
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042
Practice Address - Country:US
Practice Address - Phone:703-776-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2024-06-28
Deactivation Date:2022-11-23
Deactivation Code:
Reactivation Date:2022-12-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program