Individual
HARBANS SINGH DEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02999
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37561
WELLMARK BCBS PIN
IA
05
—
7266536
—
IA
Enumeration date
10/11/2005
Last updated
06/19/2009
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