Healthcare Provider Details

I. General information

NPI: 1952047219
Provider Name (Legal Business Name): DILSHAD DHALIWAL M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 11/18/2022
Certification Date: 11/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF PATHOLOGY ONE BAYLOR PLAZA
HUSTON TX
77030
US

IV. Provider business mailing address

BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF PATHOLOGY ONE BAYLOR PLAZA, MC315
HUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-5490
  • Fax:
Mailing address:
  • Phone: 713-798-5490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: