Iqubal S. Dhaliwal, M.D.
Organization Active NPI Specialist · Wrentham, MA
NPI 1972726420 · NPPES record last updated Oct 19, 2007
Key facts
- NPI
- 1972726420
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 52229 (MA)
- Legal business name
- IQUBAL S. DHALIWAL, M.D.
- Practice address
- 24 Common St
Suite 3
Wrentham, MA 02093-1399 - Phone
- (508) 384-1821
- Fax
- (508) 384-0253
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Iqubal S. Dhaliwal, M.D.
- Title
- M.D.
- Phone
- (508) 384-1821
Practitioners 1
-
Lynne J Doherty, FNP
National Provider Directory
Locations
24 Common St
Ste 3
Wrentham, MA 02093
Phone (508) 384-1821
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 52229 | MA | Yes |
Addresses
Primary practice location
24 Common St
Suite 3
Wrentham, MA 02093-1399
Mailing address
24 Common St
Suite 3
Wrentham, MA 02093-1399
Phone (508) 384-1821
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69591 | Other | MA | HARVARD PILGRIM |
| 0075513 | Other | MA | AETNA |
| 0402020 | Other | MA | UNITED HEALTHCARE |
| 712738 | Other | MD | TUFTS HEALTH PLAN |
| 3065391 | Medicaid | MA | |
| 4125428 | Other | MA | CIGNA |
| M17341 | Other | MA | BLUE CROSS BLUE SHIELD |
Other names
- Iqubal Dhaliwal
Other providers in Wrentham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.