Basic Information
Provider Information
NPI: 1053438127
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAHLON
FirstName: HARBRINDER BOBBY
MiddleName: SINGH
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 780 KUENZLI ST STE 202
Address2:  
City: RENO
State: NV
PostalCode: 895020837
CountryCode: US
TelephoneNumber: 7759825262
FaxNumber: 7759825496
Practice Location
Address1: 25 MCCABE DR
Address2:  
City: RENO
State: NV
PostalCode: 895115991
CountryCode: US
TelephoneNumber: 7759825000
FaxNumber: 7759823900
Other Information
ProviderEnumerationDate: 03/23/2007
LastUpdateDate: 04/28/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X16335NVY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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