Provider Demographics
NPI:1336910199
Name:BHUPINDER S ROMANA MD INC
Entity Type:Organization
Organization Name:BHUPINDER S ROMANA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:BHUPINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-405-2406
Mailing Address - Street 1:PO BOX 230
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95241-0230
Mailing Address - Country:US
Mailing Address - Phone:099-569-1802
Mailing Address - Fax:
Practice Address - Street 1:1144 NORMAN DR STE 203
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-5960
Practice Address - Country:US
Practice Address - Phone:209-405-2406
Practice Address - Fax:209-956-9180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty