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NPI Code Detail

MEDICARE: KEERAT DHATT M.D.

MEDICARE: KEERAT DHATT 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
1207RN0300XNephrology PhysicianA170252CA

General Provider Information

NPI Number : 1982133435
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEERAT DHATT M.D.
Provider Business Mailing Address
First Line : 5274 TUDOR ROSE GLN
Second Line :
City : STOCKTON
State : CA
Zip : 95212-9272
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6505 S MANTHEY RD
Second Line :
City : FRENCH CAMP
State : CA
Zip : 95231-9518
Country : US
Telephone Number : 209-946-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2017
Last Update Date : 05/23/2025

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