Organization
CHARANJIT DHILLON, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARANJIT DHILLON MD (ADMINISTRATOR/OWNER)
(602) 395-0718
Entity
Organization
Contact information
Practice address
6707 N 19TH AVE, SUITE 220, PHOENIX, AZ 85015-1104
(602) 395-0718
(602) 277-8146
Mailing address
6707 N 19TH AVE, SUITE 220, PHOENIX, AZ 85015-1104
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
11273
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210964
—
AZ
Enumeration date
07/01/2006
Last updated
08/17/2010
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