Individual
RAVNEET S DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.,B.S., M.D.
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Mailing address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39013
IA
207R00000X
Internal Medicine Physician
47077
AZ
207R00000X
Internal Medicine Physician
R7755
IA
2084P0800X
Psychiatry Physician
39013
IA
2084P0800X
Psychiatry Physician
Primary
47077
AZ
2084P0800X
Psychiatry Physician
R7755
IA
Other
Enumeration date
05/21/2007
Last updated
06/28/2013
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