Individual
DR. JAGPRIT SINGH DHILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(216) 924-1151
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35070181D
OH
207R00000X
Internal Medicine Physician
35.070181
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110155097
MEDICARE RR-GA
OH
05
—
2021369
—
OH
01
—
942460636073
CARESOURCE
OH
Enumeration date
06/01/2006
Last updated
01/11/2019
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