Provider Demographics
NPI:1093185498
Name:ATWAL, DILSHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:DILSHAD
Middle Name:
Last Name:ATWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E 55TH ST STE 401
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4514
Mailing Address - Country:US
Mailing Address - Phone:212-840-0135
Mailing Address - Fax:212-840-0535
Practice Address - Street 1:150 E 55TH ST STE 401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4514
Practice Address - Country:US
Practice Address - Phone:212-840-0135
Practice Address - Fax:212-840-0535
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY3067992081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program