Individual
HARJOT K THIND-DEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24900 SE STARK ST STE 202, GRESHAM, OR 97030-3382
(502) 944-6300
Mailing address
PO BOX 78534, MILWAUKEE, WI 53278-8534
(815) 398-9491
(815) 381-7498
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036-155990
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036155990
—
IL
Enumeration date
03/31/2014
Last updated
11/10/2025
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