| Rajneesh K Bhalla Md Pa | |
|
1701 Se Hillmoor Dr Suite C-12 Port Saint Lucie FL 34952-7541 | |
| (772) 398-8844 | |
| (772) 398-0012 |
| Full Name | Rajneesh K Bhalla Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 Se Hillmoor Dr, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Rajneesh K Bhalla (PRESIDENT) |
| Authorized Official Contact | 7723988844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajneesh K Bhalla Md Pa 1701 Se Hillmoor Dr Suite C-12 Port Saint Lucie FL 34952-7541 Ph: (772) 398-8844 | Rajneesh K Bhalla Md Pa 1701 Se Hillmoor Dr Suite C-12 Port Saint Lucie FL 34952-7541 Ph: (772) 398-8844 |
| NPI Number | 1821320789 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 11/08/2013 |
| Medicare PECOS PAC ID | 8123154820 |
|---|---|
| Medicare Enrollment ID | O20100406000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821320789 | NPI | - | NPPES |
| 009389600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME71005 (Florida) | Primary |
| Provider Name | Rajneesh K Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326062167 PECOS PAC ID: 7416083118 Enrollment ID: I20100406000259 |
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