Basic Information
| Provider Information | |||||||||
| NPI: | 1346502085 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BHULLAR | ||||||||
| FirstName: | RUBY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4228 HOUMA BLVD STE 230 | ||||||||
| Address2: | |||||||||
| City: | METAIRIE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700063020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5058833722 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2845 SIENA HEIGHTS DR | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890524153 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7026171227 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2012 | ||||||||
| LastUpdateDate: | 07/30/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 15818 | NV | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.