IQUBAL S. DHALIWAL, M.D. (NPI# 1972726420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972726420 |
| Entity Type | Organization |
| Organization Name | IQUBAL S. DHALIWAL, M.D. |
| Other Organization Name | IQUBAL DHALIWAL |
| Practice Address |
24 Common St Suite 3 Wrentham MA 02093-1399 |
| Practice Telephone | 5083841821 |
| Practice Fax Number | 5083840253 |
| Mailing Telephone | 5083841821 |
| Mailing Fax Number | 5083840253 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-10-19 |
| Authorized Official Name | DR. IQUBAL S. DHALIWAL (M.D.) |
| Authorized Official Telephone | 5083841821 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 52229 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | UNITED HEALTHCARE | 0402020 | 01 |
| MA | 3065391 | 05 | |
| MA | HARVARD PILGRIM | 69591 | 01 |
| MD | TUFTS HEALTH PLAN | 712738 | 01 |
| MA | BLUE CROSS BLUE SHIELD | M17341 | 01 |
| MA | CIGNA | 4125428 | 01 |
| MA | AETNA | 0075513 | 01 |
| Other Name | Type Code |
|---|---|
| Iqubal Dhaliwal | Other Name - Individual/Organization |
| Street Address |
24 COMMON ST SUITE 3 |
| City | WRENTHAM |
| State | MA |
| Zip Code | 02093-1399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770694556 | Iqubal S. Dhaliwal | Emergency Medicine | 24 Common St, Suite 3, Wrentham, MA 02093-1399 | 2006-08-31 |
| 1649561630 | Lynne J Doherty | Nurse Practitioner | 24 Common St, Suite # 3, Wrentham, MA 02093-1399 | 2011-04-25 |
| 1144493206 | Kristina E Mccarthy | Physician Assistant | 24 Common St, Wrentham, MA 02093-1399 | 2008-04-10 |
| 1699944942 | I Dhaliwal Md PC | Internal Medicine | 24 Common St, Suite 3, Wrentham, MA 02093-1399 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811465974 | Shi-iii Wrentham LLC | Assisted Living Facility | 30 Ledgeview Way, Attn: Executive Director Or Dba, Wrentham, MA 02093 | 2018-11-07 |
| 1154618452 | Kari Ann Bragaw | Physical Therapist | 40 Annawon Ave, Wrentham, MA 02093 | 2011-07-07 |
| 1457479354 | Wendy D Allard | Dietitian, Registered | Wrentham Development Center, 18 Emerald St, Wrentham, MA 02093 | 2007-03-27 |
| 1558486340 | Kathleen Ann Patti | Dietitian, Registered | 18 Emerald St, Wrentham, MA 02093 | 2007-03-20 |
| 1134251366 | Commonwealth of Massachusetts-dmr | Intermediate Care Facility, Mentally Retarded | 131 Emerald Street, Wrentham, MA 02093 | 2007-03-12 |
| 1407926959 | Chris Mckenna | Chiropractor | 46 South St., Wrentham, MA 02093 | 2006-11-09 |
| 1821168782 | Brian Mckenna | Chiropractor | 46 South St, Wrentham, MA 02093 | 2006-11-08 |
| 1649375304 | Norfolk County Cardiology Assoc | Internal Medicine | 844 Franklin Street, #4, Wrentham, MA 02093 | 2006-09-14 |
| 1477522571 | Marya A Koza | Specialist | 844 Franklin St., #4, Wrentham, MA 02093 | 2006-03-14 |
| 1194712257 | Neal Friedman | Internal Medicine | 24 Common Street, Suite #1, Wrentham, MA 02093 | 2005-10-04 |
| Find all providers in zip 02093 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477522571 | Marya A Koza | Specialist | 844 Franklin St., #4, Wrentham, MA 02093 | 2006-03-14 |
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|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1811595440 | Elite Upper Extremity and Plastic Surgery, Pllc | Specialist | 123 Summer St Ste 550, Worcester, MA 01608-1216 | 2020-10-15 |
| 1285272559 | Michael Anthony Mandella | Specialist | 615 Reservoir Rd, Lunenburg, MA 01462-1540 | 2019-12-17 |
| 1003372996 | Pic A Nit LLC | Specialist | 111 Worcester Street, North Grafton, MA 01536 | 2019-02-15 |
| 1427513738 | Arlene L Casassa | Specialist | 271 Pond St, Hopkinton, MA 01748-1509 | 2019-01-31 |
| 1851881767 | Cheryl Ann Borden | Specialist | 51 Country Club Way, Ipswich, MA 01938-3000 | 2018-05-16 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1114426988 | Louise Berit Homstead | Specialist | 108 N Main St Ste A, Sunderland, MA 01375-9502 | 2018-02-07 |
| 1356859425 | Tanya Elaine Lachowicz | Specialist | 19 Agassiz St Apt 1, Cambridge, MA 02140-2826 | 2018-01-11 |
| 1083126338 | Kailash Nagrath | Specialist | 33 Sequattom Road, Harwich, MA 02645 | 2017-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.