Individual
HARMINDER SINGH DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 LONG PRAIRIE ROAD, STE 100, FLOWER MOUND, TX 75028
(972) 691-4100
(972) 691-4118
Mailing address
5800 SOUTHERN HILLS DR, FLOWER MOUND, TX 75022
(469) 322-0163
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K4040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037572702
—
TX
01
—
1464015001
CIGNA
TX
01
—
2031257
AETNA
TX
01
—
281353701
MEDICAID GROUP
TX
01
—
80800S
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/27/2006
Last updated
09/20/2012
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