Provider Demographics
NPI:1124556410
Name:DHALIWAL, HARINDER SINGH (MBBS)
Entity Type:Individual
Prefix:
First Name:HARINDER
Middle Name:SINGH
Last Name:DHALIWAL
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 YORK STREET
Mailing Address - Street 2:YNHH - TOMPKINS 2, ROOM 209
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3202
Mailing Address - Country:US
Mailing Address - Phone:203-688-4242
Mailing Address - Fax:
Practice Address - Street 1:15 YORK STREET, LLCI 714
Practice Address - Street 2:COMPREHENSIVE EPILEPSY CENTER, DEPARTMENT OF NEUROLOGY,
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8018
Practice Address - Country:US
Practice Address - Phone:203-785-3865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-31
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program