Healthcare Provider Details
I. General information
NPI: 1639266216
Provider Name (Legal Business Name): DILBAGH SINGH GEHLAWAT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/06/2006
Last Update Date: 02/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325 LEXINGTON ST
DELANO CA
93215
US
IV. Provider business mailing address
325 LEXINGTON ST
DELANO CA
93215
US
V. Phone/Fax
- Phone: 661-725-6266
- Fax: 661-725-0407
- Phone: 661-725-6266
- Fax: 661-725-0407
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A35839 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: