Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 21522 | WV |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 35.135164 | OH |
NPI | 1730112137 |
---|---|
Provider Name | Dr. Sanjit Kaur Dhaliwal |
First Address | Cincinnati, OH 45202-1459 |
Second Address | Maumee, OH 43537-1656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 19/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3810000743 | (05) | WV |
H08885 | (02) |