Basic Information
Provider Information
NPI: 1124060116
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOLANKI
FirstName: DILIP
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 911230
Address2:  
City: DALLAS
State: TX
PostalCode: 753911230
CountryCode: US
TelephoneNumber: 9729978000
FaxNumber: 9724379605
Practice Location
Address1: 3555 W WHEATLAND RD
Address2:  
City: DALLAS
State: TX
PostalCode: 752373461
CountryCode: US
TelephoneNumber: 9727092580
FaxNumber: 9722986485
Other Information
ProviderEnumerationDate: 06/12/2006
LastUpdateDate: 05/08/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202XJ5021TXN Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
207RH0003XJ5021TXY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

ID Information
IDTypeStateIssuerDescription
8R155301TXBLUE CROSS OF TEXASOTHER
13888520705TX MEDICAID
13888521105TX MEDICAID


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