Healthcare Provider Details

I. General information

NPI: 1063134575
Provider Name (Legal Business Name): THE MEDICAL PARTNERS GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 09/19/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

568 E HERNDON AVE STE 102
FRESNO CA
93720-2989
US

IV. Provider business mailing address

568 E HERNDON AVE STE 102
FRESNO CA
93720-2989
US

V. Phone/Fax

Practice location:
  • Phone: 559-710-1200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HEMANT DHINGRA
Title or Position: PARTNER
Credential: MD
Phone: 559-710-1200