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NPI Code Detail

MEDICARE: KULBIR DHATT

MEDICARE:   KULBIR  DHATT
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
1183500000XPharmacist45544CA

General Provider Information

NPI Number : 1689957649
Entity Type Code : Individual
Provider Name (Legal Business Name) : KULBIR DHATT
Provider Business Mailing Address
First Line : 15 W HARDING WAY
Second Line :
City : STOCKTON
State : CA
Zip : 95204-5716
Country : US
Telephone Number : 209-941-9632
Fax Number :
Provider Business Practice Location Address
First Line : 15 W HARDING WAY
Second Line :
City : STOCKTON
State : CA
Zip : 95204-5716
Country : US
Telephone Number : 209-941-9632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2011
Last Update Date : 09/26/2011

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Directions to “ KULBIR DHATT ” Practice Location

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