Individual
DR. MANDEEP SINGH DHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6333 N FEDERAL HWY STE 300, FORT LAUDERDALE, FL 33308
(954) 776-6880
(954) 776-6895
Mailing address
6333 N FEDERAL HWY, SUITE 300, FT LAUDERDALE, FL 33308-1907
(954) 776-6880
(954) 229-3100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME98620
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME98620
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198538
MO-BLUE SHIELD
—
01
—
28072
BCBSFL
FL
Enumeration date
06/29/2006
Last updated
02/07/2024
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