Healthcare Provider Details

I. General information

NPI: 1649929118
Provider Name (Legal Business Name): HARKEERAT SINGH DHAMI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 WEST MICHIGAN STREET FESLER HALL ROOM 204
INDIANAPOLIS IN
46202
US

IV. Provider business mailing address

1130 W MICHIGAN ST
INDIANAPOLIS IN
46202-5209
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-0076
  • Fax: 317-274-0256
Mailing address:
  • Phone: 317-274-0076
  • Fax: 317-274-0256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01095987A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: