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1912065517

NPI Code Detail

MEDICARE: DAVINDER DHINGRA M.D.

MEDICARE: DAVINDER DHINGRA 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
1	2084P0800X	Psychiatry Physician	E1458	TX
2	2084P0802X	Addiction Psychiatry Physician	E1458	TX
3	2084P0804X	Child & Adolescent Psychiatry Physician	E1458	TX
4	2084P0805X	Geriatric Psychiatry Physician	E1458	TX

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912065517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVINDER DHINGRA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2603
Second Line	:	HTN, CLIENT ACCOUNTING
City	:	FORT WORTH
State	:	TX
Zip	:	76113-2603
Country	:	US
Telephone Number	:	817-569-5800
Fax Number	:	917-569-5899

Provider Business Practice Location Address
First Line	:	3840 HULEN ST STE 100
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-7269
Country	:	US
Telephone Number	:	817-569-5800
Fax Number	:	917-569-5899

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	01/30/2026

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Directions to “ DAVINDER DHINGRA M.D.” Practice Location

Language	Start Address	Practice Location

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