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NPI Verification

National Provider Identifier: 1457616120

Gaurav Bhalla, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

4190 24TH AVE STE 201

FORT GRATIOT, MI 480593884

Phone: 810-216-4200

NPI Enumeration Date

July 9, 2012

NPI Number

1457616120

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry