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Contact Information

SUKHDEEP S ATHWAL, DO
2823 FRESNO ST
FRESNO, CA93721
 Phone: 559-459-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUKHDEEP S ATHWAL · (Male)

NPI # 1598925877
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/11/2008
Last updated 02/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A13258
  • IN License # 11013389A
  • IN Medicaid 200923170
Hospital affiliation(s)
  • CLOVIS COMMUNITY MEDICAL CENTER - (Acute Care)
    2755 HERNDON AVE
    CLOVIS, CA 93611
  • COMMUNITY REGIONAL MEDICAL CENTER - (Acute Care)
    2823 FRESNO STREET
    FRESNO, CA 93715
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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