Individual
RAMANJIT S DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351
(623) 876-5622
(623) 815-2931
Mailing address
PO BOX 53568, PHOENIX, AZ 85072
(623) 544-5070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29247
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110230214
RR MEDICARE
—
05
—
616419-01
—
AZ
01
—
AZ0712120
BCBS
AZ
Enumeration date
09/13/2005
Last updated
05/13/2010
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