| Jagtar Dhadwal, Md. Inc. | |
|
250 W Bonita Ave Suite 250 Pomona CA 91767-1863 | |
| (909) 868-6800 | |
| (909) 868-5379 |
| Full Name | Jagtar Dhadwal, Md. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 W Bonita Ave, Pomona, California |
| Authorized Official Name and Position | Jagtar Dhadwal (MD) |
| Authorized Official Contact | 9098686800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jagtar Dhadwal, Md. Inc. 250 W Bonita Ave Suite 250 Pomona CA 91767-1863 Ph: (909) 868-6800 | Jagtar Dhadwal, Md. Inc. 250 W Bonita Ave Suite 250 Pomona CA 91767-1863 Ph: (909) 868-6800 |
| NPI Number | 1497015267 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 05/25/2012 |
| Medicare PECOS PAC ID | 9133382195 |
|---|---|
| Medicare Enrollment ID | O20120531000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497015267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jagtar Dhadwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801865563 PECOS PAC ID: 4183786452 Enrollment ID: I20091027000652 |
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