Doctor Name: | BHUPINDER K DHALLA |
NPI Number: | 1194799205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME40866 |
Business Practice Address: | 13941 15th St Dade City, FL - 335254010 |
Business Phone Number: | 3525211450 |
Business Fax Number: | 3525236910 |
Mailing Address: | 13941 15th St, DADE CITY |
State: | FL |
Postal Code: | 335254010 |
Phone Number: | 3525211450 |
Fax Number: | 3525236910 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 12/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME40866 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |