Anshum Goel Bhalla, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301108398 Issued in MI

Practice address

2540 16TH St
Port Huron, MI 48060-6405

Phone

(810) 987-1000

Fax

(810) 982-1810

NPI assigned

Jul 4, 2014

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Port Huron Internal Medicine

  • Family Health Clinical Nurse Specialist
  • Port Huron, MI
  • NPI 1437609781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154737609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 16TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606405",
            "telephone_number": "810-987-1000",
            "fax_number": "810-982-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 16TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606405",
            "telephone_number": "810-987-1000",
            "fax_number": "810-982-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "ANSHUM GOEL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301108398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Port Huron, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.