Inderpal Kaur Bhathal, MD

Individual provider Active NPI Psychiatry Physician · Morris Plains, NJ

NPI 1104987692 · NPPES record last updated Jan 12, 2021

Key facts

NPI
1104987692
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
MA4192000 (NJ)
Practice address
59 Koch Ave
Morris Plains, NJ 07950-4400
Phone
(973) 889-4390
Fax
(973) 889-8799
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA4192000NJMDPsychiatry Physician
188788-1NYMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 188788-1 NY
Psychiatry Physician 2084P0800X MA4192000 NJ Yes

Addresses

Primary practice location

59 Koch Ave
Morris Plains, NJ 07950-4400

Mailing address

135 Hollywood Ave
Englewood Cliffs, NJ 07632-2133
Phone (201) 871-9781

Electronic endpoints

TypeEndpointUseAffiliation
Other URL inderpal.bhathal@doh.nj.gov Direct

Other providers in Morris Plains, NJ

All providers in Morris Plains, NJ · Psychiatry Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.