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NPI Code Detail

MEDICARE: MR. RANJIT S DHALIWAL MD

MEDICARE:  MR. RANJIT S DHALIWAL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician038466GA
2207WX0107XRetina Specialist (Ophthalmology) Physician038466GA

Other Identifiers

General Provider Information

NPI Number : 1851387245
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RANJIT S DHALIWAL MD
Provider Business Mailing Address
First Line : 3520 WALTON WAY EXT
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-6605
Country : US
Telephone Number : 706-481-9191
Fax Number : 706-481-9197
Provider Business Practice Location Address
First Line : 3520 WALTON WAY EXT
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-6605
Country : US
Telephone Number : 706-481-9191
Fax Number : 706-481-9197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 02/09/2021

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