Individual
DR. HARSHAVARDHAN L DALAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9731 PRAIRIE AVE, HIGHLAND, IN 46322-3616
(219) 922-4900
(219) 836-9922
Mailing address
9731 PRAIRIE AVE, HIGHLAND, IN 46322-3616
(219) 922-4900
(219) 836-9922
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01029392A
IN
207RG0100X
Gastroenterology Physician
036054886
IL
208C00000X
Colon & Rectal Surgery Physician
01029392A
IN
208C00000X
Colon & Rectal Surgery Physician
036054886
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086035
BCBS OF IN
IN
05
—
100213290A
—
IN
01
—
21609752
BCBS OF IL
IL
Enumeration date
06/23/2006
Last updated
02/02/2021
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