Individual
DR. INDERJIT KAUR DHILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5043 E. KINGS CANYON #101, FRESNO, CA 93721-3962
(559) 455-1500
(559) 253-1302
Mailing address
5043 E. KINGS CANYON #101, FRESNO, CA 93721-3962
(559) 455-1500
(559) 253-1302
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A38371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A383710
MEDI-CAL PROVIDER #
CA
01
—
00A383711
MEDI-CAL PROVIDER #
CA
01
—
A38371
MEDICAL LICENSE #
CA
Enumeration date
01/02/2007
Last updated
09/10/2007
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