Individual
TEJINDER DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6633 FOREST AVE STE 205, NEW PORT RICHEY, FL 34653-2612
(727) 375-2849
(727) 266-4915
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME69498
FL
208D00000X
General Practice Physician
ME0069498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31207
BLUE CROSS BLUE SHIELD
FL
05
—
379702300
—
FL
Enumeration date
10/02/2006
Last updated
02/13/2024
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