Individual provider · Type 1 NPI

Jagdeesh K. Dhaliwal, MD

Student in an Organized Health Care Education/Training Program · Glen Oaks, NY

NPI number 1265678841 Active

Practice location

75-59 263rd Street
Glen Oaks, NY 11004

Call (718) 470-8005 Map

Mailing address

306 Community Dr, Apt 2N
Manhasset, NY 11030-3838

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265678841

Jagdeesh K. Dhaliwal, MD's National Provider Identifier is 1265678841, issued on Jan 2, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glen Oaks, NY. The record was last updated on Jan 2, 2009.