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NPI Code Detail

MEDICARE: SIMARJIT K. DHALIWAL MD

MEDICARE:   SIMARJIT K. DHALIWAL  MD
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
1207RN0300XNephrology PhysicianA95670CA

General Provider Information

NPI Number : 1255485900
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMARJIT K. DHALIWAL MD
Provider Business Mailing Address
First Line : 2905 TELEGRAPH AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94705-2017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2905 TELEGRAPH AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94705-2017
Country : US
Telephone Number : 510-841-4525
Fax Number : 510-848-9970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 01/07/2026

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Directions to “ SIMARJIT K. DHALIWAL MD” Practice Location

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