Provider Demographics
NPI:1285661140
Name:DHALIWAL, HARMINDER SINGH (MD)
Entity Type:Individual
Prefix:
First Name:HARMINDER
Middle Name:SINGH
Last Name:DHALIWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 SOUTHERN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022
Mailing Address - Country:US
Mailing Address - Phone:469-322-0163
Mailing Address - Fax:
Practice Address - Street 1:4900 LONG PRAIRIE ROAD
Practice Address - Street 2:STE 100
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028
Practice Address - Country:US
Practice Address - Phone:972-691-4100
Practice Address - Fax:972-691-4118
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK4040208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80800SOtherBLUE CROSS BLUE SHIELD
TX2031257OtherAETNA
TX281353701OtherMEDICAID GROUP
TX037572702Medicaid
TX1464015001OtherCIGNA
TX281353701OtherMEDICAID EP1
TX281353701OtherMEDICAID GROUP
TX037572702Medicaid