Provider Demographics
NPI:1306103510
Name:PHULL, HARDEEP SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:HARDEEP
Middle Name:SINGH
Last Name:PHULL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2125 CITRACADO PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-4159
Mailing Address - Country:US
Mailing Address - Phone:760-740-2715
Mailing Address - Fax:
Practice Address - Street 1:2125 CITRACADO PKWY STE 220
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-4159
Practice Address - Country:US
Practice Address - Phone:760-740-2715
Practice Address - Fax:858-939-6809
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA123404207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine