Provider Demographics
NPI:1417097262
Name:DHALLU, GURJEET K (MD)
Entity Type:Individual
Prefix:DR
First Name:GURJEET
Middle Name:K
Last Name:DHALLU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 NEPERAN RD
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3436
Mailing Address - Country:US
Mailing Address - Phone:646-228-6202
Mailing Address - Fax:866-674-7807
Practice Address - Street 1:1 NEPERAN RD
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-3436
Practice Address - Country:US
Practice Address - Phone:646-228-6202
Practice Address - Fax:866-674-7807
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2380222084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry