Healthcare Provider Details

I. General information

NPI: 1992911309
Provider Name (Legal Business Name): AMNEET VIRK DULAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMNEET DULAI MD

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 10/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7082 N MAPLE AVE STE 101
FRESNO CA
93720-8004
US

IV. Provider business mailing address

PO BOX 28915
FRESNO CA
93729-8915
US

V. Phone/Fax

Practice location:
  • Phone: 559-449-0331
  • Fax: 559-449-0246
Mailing address:
  • Phone: 559-253-2800
  • Fax: 559-253-2808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA117190
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: