Organization
NAVDEEP DHALIWAL, M.D. A PROF.CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVDEEP DHALIWAL M.D. (PRESIDENT)
(209) 462-9900
Entity
Organization
Contact information
Practice address
2626 N CALIFORNIA ST STE F, STOCKTON, CA 95204-5500
(209) 462-9900
(209) 462-9909
Mailing address
2626 N CALIFORNIA ST STE F, STOCKTON, CA 95204-5500
(209) 462-9900
(209) 462-9909
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6430436
—
CA
Enumeration date
05/23/2007
Last updated
08/22/2020
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