Provider Demographics
NPI:1265598288
Name:KHALSA, DHARMA SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:DHARMA
Middle Name:SINGH
Last Name:KHALSA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6300 E EL DORADO PLZ
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-4612
Mailing Address - Country:US
Mailing Address - Phone:520-749-8374
Mailing Address - Fax:520-296-6640
Practice Address - Street 1:6300 E EL DORADO PLZ
Practice Address - Street 2:SUITE 400
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4612
Practice Address - Country:US
Practice Address - Phone:520-749-8374
Practice Address - Fax:520-296-6640
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ22149207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC99761Medicare UPIN