Carlson, Niti Bhalla

Carlson, Niti Bhalla is an sole proprietor health care provider with primary practice located at 465 N Belair Rd Ste 2E , Evans GA 30809-3190. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Carlson, Niti Bhalla can be contacted via phone (706) 855-5510.

Contact Information

Primary practice address
465 N Belair Rd Ste 2E Evans GA 30809-3190
Fax: (706) 855-7254
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 045052 Georgia

Profile Details

NPI number 1972599363
LBN Legal business name Carlson, Niti Bhalla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated May 21st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972599363 NPPES
South Carolina Other G45052 MEDICAID
South Carolina MEDICAID 00914955B MEDICAID

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