Provider Demographics
NPI:1730238502
Name:DHATT, MALKIAT SINGH (M D)
Entity type:Individual
Prefix:DR
First Name:MALKIAT
Middle Name:SINGH
Last Name:DHATT
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
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Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:STE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:542 WHITE OAK ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4710
Practice Address - Country:US
Practice Address - Phone:336-629-4176
Practice Address - Fax:336-626-6604
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC22701207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8928446Medicaid
NCP00655175OtherRR MEDICARE
NC205914EMedicare PIN
NC8928446Medicaid
NCP00655175OtherRR MEDICARE