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Individual

KALWANT S DHILLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4425 W ASHLAN AVE STE 106, FRESNO, CA 93722-7017
(559) 438-0292
(559) 438-0294
Mailing address
4425 W ASHLAN AVE STE 106, FRESNO, CA 93722-7017
(559) 438-0292
(559) 438-0294

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A305820
CA
208D00000X
General Practice Physician
A305820
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A305820
CA
Enumeration date
02/13/2008
Last updated
06/23/2010
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