Individual
RANVIR DHILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 HAWTHORNE AVE, ROOM 2346, OAKLAND, CA 94609-3108
(510) 869-6883
Mailing address
3687 MT DIABLO BLVD, LAFAYETTE, CA 94549-3717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
253637
MA
208M00000X
Hospitalist Physician
Primary
141212
CA
208M00000X
Hospitalist Physician
253637
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110107881A
—
MA
Enumeration date
05/29/2008
Last updated
11/15/2016
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