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NPI Code Detail

MEDICARE: DR. DILSHAD ATWAL M.D.

MEDICARE:  DR. DILSHAD  ATWAL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician306799NY

General Provider Information

NPI Number : 1093185498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DILSHAD ATWAL M.D.
Provider Business Mailing Address
First Line : 150 E 55TH ST STE 401
Second Line :
City : NEW YORK
State : NY
Zip : 10022-4514
Country : US
Telephone Number : 212-840-0135
Fax Number : 212-840-0535
Provider Business Practice Location Address
First Line : 150 E 55TH ST STE 401
Second Line :
City : NEW YORK
State : NY
Zip : 10022-4514
Country : US
Telephone Number : 212-840-0135
Fax Number : 212-840-0535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2015
Last Update Date : 03/15/2021

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Directions to “ DR. DILSHAD ATWAL M.D.” Practice Location

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