Harbans Deol DO PHD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

02999 Issued in IA

Legal business name

HARBANS DEOL DO PHD PC

Practice address

600 N Main St
Burlington, IA 52601-5012

Phone

(641) 472-9191

NPI assigned

Oct 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harbans S Deol, DONPI 1912995135

Title

President

Phone

(641) 919-7650

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harbans Singh Deol, DO

  • Internal Medicine Physician
  • Fairfield, IA
  • NPI 1912995135
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487736526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563839",
            "telephone_number": "641-472-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015012",
            "telephone_number": "641-472-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBANS DEOL DO PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEOL",
        "authorized_official_first_name": "HARBANS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-919-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "02999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2266536",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9134106",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IA",
            "identifier": "15712",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandie Grinstead, LISW
• Grinstead, Pierce & Associates, LLC (O'Rourke, Grinstead, Pierce & Associates)
• Amy Rebecca Groeltz, DDS
• Jennifer Hamilton, RN
• Evan J Hammer, RPH
• Tabithia Spring Harness, LMHC
• Michelle Diane Hartman, FNP-C
• Jessica Hartz
• Ryan Brock Hatcher, DC
• Dalton Lee Hayes, ATC LAT

• Internal Medicine Physician in Burlington, IA
• Providers in Burlington, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.