Organization Active NPI

Gurjit S Dhatt MD PLLC

  • Internal Medicine Physician
  • Southlake, TX
National Provider Identifier
1720768500
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GURJIT S DHATT MD PLLC
Practice address
403 Atherton Cir
Southlake, TX 76092-9439
Phone
(352) 872-8008
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Gurjit Dhatt Dhatt, MD
Title
Manager
Phone
(352) 872-8008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X

Addresses

Primary practice location

403 Atherton Cir
Southlake, TX 76092-9439

Mailing address

403 Atherton Cir
Southlake, TX 76092-9439
Phone (352) 872-8008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1720768500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ATHERTON CIR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929439",
            "telephone_number": "352-872-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 ATHERTON CIR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929439",
            "telephone_number": "352-872-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURJIT S DHATT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "DHATT",
        "authorized_official_first_name": "GURJIT",
        "authorized_official_middle_name": "DHATT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-872-8008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.