Healthcare Provider Details
I. General information
NPI: 1982922902
Provider Name (Legal Business Name): KARAN DHIR M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2010
Last Update Date: 07/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 S SPALDING DR STE 340
BEVERLY HILLS CA
90212-1841
US
IV. Provider business mailing address
120 S SPALDING DR STE 340
BEVERLY HILLS CA
90212-1841
US
V. Phone/Fax
- Phone: 310-579-2051
- Fax: 310-943-6991
- Phone: 310-579-2051
- Fax: 310-943-6991
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YX0905X |
| Taxonomy | Otolaryngology/Facial Plastic Surgery Physician |
| License Number | A 112230 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
KARAN
DHIR
Title or Position: CEO PHYSICIAN
Credential: M.D.
Phone: 310-579-2051