Provider Demographics
NPI:1043686306
Name:DHOTAR, HERMAN SINGH (MD FRCSC)
Entity Type:Individual
Prefix:DR
First Name:HERMAN
Middle Name:SINGH
Last Name:DHOTAR
Suffix:
Gender:M
Credentials:MD FRCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 SHEPPARD AVE E
Mailing Address - Street 2:SUITE 243
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M2J1V1
Mailing Address - Country:CA
Mailing Address - Phone:416-494-7351
Mailing Address - Fax:416-494-7446
Practice Address - Street 1:1333 SHEPPARD AVE E
Practice Address - Street 2:SUITE 243
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M2J1V1
Practice Address - Country:CA
Practice Address - Phone:416-494-7351
Practice Address - Fax:416-494-7446
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC210335390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program