Provider Demographics
NPI:1265041198
Name:BAHIA, BHUPINDER SINGH
Entity type:Individual
Prefix:DR
First Name:BHUPINDER
Middle Name:SINGH
Last Name:BAHIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CRANE AVE
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-4546
Mailing Address - Country:US
Mailing Address - Phone:209-634-5858
Mailing Address - Fax:
Practice Address - Street 1:700 CRANE AVE
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-4546
Practice Address - Country:US
Practice Address - Phone:209-634-5858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1051031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice