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Individual

BHUPINDER K DHALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13941 15TH ST, DADE CITY, FL 33525-4010
(352) 521-1450
(352) 523-6910
Mailing address
13941 15TH ST, DADE CITY, FL 33525-4010
(352) 521-1450
(352) 523-6910

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME40866
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068463500
FL
01
30677
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/15/2006
Last updated
12/10/2012
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