Individual provider Active NPI

Gunveer Kaur Dhaliwal, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Sayre, PA
National Provider Identifier
1144847765
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
MT220137 Issued in PA
Practice address
Guthrie/Robert Packer Hospital
One Guthrie Square
Sayre, PA 18840
Phone
(570) 887-3381
NPI assigned
Jun 30, 2020
Reactivated
Feb 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT220137 PA Primary

Addresses

Primary practice location

Guthrie/Robert Packer Hospital
One Guthrie Square
Sayre, PA 18840

Mailing address

Family Medicine Residency-Guthrie/Robert Packer Hospita
One Guthrie Square
Sayre, PA 18840
Phone (570) 887-3381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT220137PAMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: gdhaliwal158757@direct-guthrie.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1144847765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAMILY MEDICINE RESIDENCY-GUTHRIE/ROBERT PACKER HOSPITA",
            "address_2": "ONE GUTHRIE SQUARE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "18840",
            "telephone_number": "570-887-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUTHRIE/ROBERT PACKER HOSPITAL",
            "address_2": "ONE GUTHRIE SQUARE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "18840",
            "telephone_number": "570-887-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "GUNVEER",
        "middle_name": "KAUR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "deactivation_date": "2022-01-17",
        "reactivation_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT220137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.