Provider Demographics
NPI:1508311366
Name:DHALIWAL, RAMANPREET
Entity Type:Individual
Prefix:
First Name:RAMANPREET
Middle Name:
Last Name:DHALIWAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11128 SE 233RD PL
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-3494
Mailing Address - Country:US
Mailing Address - Phone:206-422-5953
Mailing Address - Fax:
Practice Address - Street 1:10615 SE 256TH ST
Practice Address - Street 2:STE 101
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-6809
Practice Address - Country:US
Practice Address - Phone:206-422-5953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2471C3402X
WA1435942471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography