Provider Demographics
NPI:1801683255
Name:BHULLAR, KHUSHMAN KAUR (MBBS)
Entity type:Individual
Prefix:
First Name:KHUSHMAN
Middle Name:KAUR
Last Name:BHULLAR
Suffix:
Gender:
Credentials:MBBS
Other - Prefix:
Other - First Name:KHUSHMAN
Other - Middle Name:
Other - Last Name:BHULLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5451 WALNUT AVE, CHINO
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710
Mailing Address - Country:US
Mailing Address - Phone:909-464-8600
Mailing Address - Fax:
Practice Address - Street 1:5451 WALNUT AVE, CHINO
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710
Practice Address - Country:US
Practice Address - Phone:909-464-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program