Provider Demographics
NPI:1497442958
Name:DEHAL, HARDEEP SINGH
Entity Type:Individual
Prefix:
First Name:HARDEEP
Middle Name:SINGH
Last Name:DEHAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1993 LUGANO WAY
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-6682
Mailing Address - Country:US
Mailing Address - Phone:209-665-9100
Mailing Address - Fax:
Practice Address - Street 1:1993 LUGANO WAY
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-6682
Practice Address - Country:US
Practice Address - Phone:209-665-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)