Provider Demographics
NPI:1356557763
Name:DULAI, HARJOT SINGH (MD)
Entity type:Individual
Prefix:
First Name:HARJOT
Middle Name:SINGH
Last Name:DULAI
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 1:65 W WYNDOVER AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-7193
Mailing Address - Country:US
Mailing Address - Phone:412-223-2529
Mailing Address - Fax:
Practice Address - Street 1:65 W WYNDOVER AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-7193
Practice Address - Country:US
Practice Address - Phone:412-223-2529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4344102085N0700X, 2085R0202X
MI43010815102085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology