# HARBANS DEOL DO PHD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487736526
- **Authorized official:** DR. HARBANS S DEOL DO (PRESIDENT)
- **Authorized official phone:** (641) 919-7650

## Contact information

- **Practice address:** 600 N MAIN ST, BURLINGTON, IA 52601-5012
- **Practice address phone:** (641) 472-9191
- **Mailing address:** 902 S MAIN ST, FAIRFIELD, IA 52556-3839
- **Mailing address phone:** (641) 472-9191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 02999 | IA | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 15712 | BLUE CROSS BLUE SHIELD IA | IA |
| 05 | — | 2266536 | — | IA |
| 05 | — | 9134106 | — | IA |