Individual
DILSHEESH K PUREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2120 NW 107TH TER, SUNRISE, FL 33322-3418
(954) 741-0636
(954) 741-0639
Mailing address
4581 WESTON RD, # 294, WESTON, FL 33331-3141
(703) 994-1578
(954) 741-0639
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101236765
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146207
ANTHEM OF VA
—
Enumeration date
01/11/2007
Last updated
03/31/2008
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