Individual
SHAWNDEEP DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 S DOUGLAS BLVD STE 200, OKLAHOMA CITY, OK 73150-1017
(405) 272-2850
(405) 272-2898
Mailing address
3400 S DOUGLAS BLVD, SUITE 200, OKLAHOMA CITY, OK 73150
(405) 272-2850
(405) 272-2898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33247
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
05/25/2012
Last updated
09/12/2017
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