Provider Demographics
NPI:1174786347
Name:BHATTI, GURMANTPAL SINGH (MD)
Entity type:Individual
Prefix:
First Name:GURMANTPAL
Middle Name:SINGH
Last Name:BHATTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GURMANT
Other - Middle Name:PAL
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 28186
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-8186
Mailing Address - Country:US
Mailing Address - Phone:559-448-7622
Mailing Address - Fax:559-772-4613
Practice Address - Street 1:8307 BRIMHALL RD STE 1706
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-4343
Practice Address - Country:US
Practice Address - Phone:661-467-1477
Practice Address - Fax:661-467-1480
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114308208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery