Basic Information
Provider Information
NPI: 1346536554
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DHESI
FirstName: SUKHDEEP
MiddleName: SINGH
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 221 W COLORADO BLVD STE 525
Address2:  
City: DALLAS
State: TX
PostalCode: 752082312
CountryCode: US
TelephoneNumber: 2149605681
FaxNumber:  
Practice Location
Address1: 221 W COLORADO BLVD STE 525
Address2:  
City: DALLAS
State: TX
PostalCode: 752082312
CountryCode: US
TelephoneNumber: 2149605681
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/26/2011
LastUpdateDate: 08/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XR6381TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001XR6381TXN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
390200000XOT014181PAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RC0200XR6381TXY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207R00000XOS017848PAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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