Provider Demographics
NPI:1710931530
Name:DHINGRA, HARISH KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:HARISH
Middle Name:KUMAR
Last Name:DHINGRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CIRCLE LN
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-7436
Mailing Address - Country:US
Mailing Address - Phone:817-283-2311
Mailing Address - Fax:817-267-2571
Practice Address - Street 1:1200 CIRCLE LN
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-7436
Practice Address - Country:US
Practice Address - Phone:817-233-2379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1304207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB109146Medicare UPIN