Dhanoa, Komal
Dhanoa, Komal is an individual health care provider with primary practice located at 2580C Teddy Drive , Las Vegas NV 89102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dhanoa, Komal can be contacted via phone (702) 968-3270.Contact Information
Primary practice address
2580C Teddy Drive
Las Vegas NV 89102
Phone: (702) 968-3270
Fax: (702) 949-6202
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301110764 | Michigan |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21471 | Nevada |
Profile Details
NPI number | 1013369123 |
---|---|
LBN Legal business name | Dhanoa, Komal |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2016 |
Last updated | May 2nd, 2024 - about last year |
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 | 1013369123 | NPPES |
Nevada | Other | 21471 | STATE LICENSE |
Nevada | MEDICAID | 1013369123 | STATE LICENSE |
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