Basic Information
| Provider Information | |||||||||
| NPI: | 1366696395 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DHIMAN | ||||||||
| FirstName: | NAVEEN | ||||||||
| MiddleName: | KUMAR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11904 NOVARA AVE | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933126714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6614313786 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12756 VAN NUYS BLVD | ||||||||
| Address2: | |||||||||
| City: | PACOIMA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913311626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188960531 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2008 | ||||||||
| LastUpdateDate: | 11/04/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A104998 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.