Dhadwal, Jagtar Sarup
Dhadwal, Jagtar Sarup is an individual health care provider with primary practice located at 250 W Bonita Ave #250, Pomona CA 91767-1863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dhadwal, Jagtar Sarup can be contacted via phone (909) 868-6800.Contact Information
Primary practice address
250 W Bonita Ave #250
Pomona CA 91767-1863
Phone: (909) 868-6800
Fax: (909) 868-5379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A47802 | California |
Profile Details
| NPI number | 1801865563 |
|---|---|
| LBN Legal business name | Dhadwal, Jagtar Sarup |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Feb 24th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801865563 | NPPES |
| California | MEDICAID | 00A478020 |
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