1578937272 NPI number — HARBIR SINGH JHAWAR DDS, MBA, MPH

Table of content: HARBIR SINGH JHAWAR DDS, MBA, MPH (NPI 1578937272)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578937272 NPI number — HARBIR SINGH JHAWAR DDS, MBA, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JHAWAR
Provider First Name:
HARBIR
Provider Middle Name:
SINGH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DDS, MBA, MPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578937272
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/02/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16196 JACOBS CIRCLE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIVERSIDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92504
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-368-8366
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19040 VAN BUREN BLVD
Provider Second Line Business Practice Location Address:
#111
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92508-9159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-789-0200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/18/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  65231 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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