MEDICARE: MR. ROBERT DHALIWAL DC

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
1	111N00000X	Chiropractor	2096	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000020401	OTHER	OH	ANTHEM INS

General Provider Information

NPI Number	:	1154425502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT DHALIWAL DC

Provider Business Mailing Address
First Line	:	5948 GLENWAY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2009
Country	:	US
Telephone Number	:	513-251-2273
Fax Number	:	513-251-5909

Provider Business Practice Location Address
First Line	:	5948 GLENWAY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2009
Country	:	US
Telephone Number	:	513-251-2273
Fax Number	:	513-251-5909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	04/24/2013

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Directions to “ MR. ROBERT DHALIWAL DC” Practice Location

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