Individual
DR. MOHAN DS DHILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4104 OLD VESTAL RD, SUITE #108, VESTAL, NY 13850-3554
(607) 729-0726
(607) 729-1341
Mailing address
4182 MURPHY RD, BINGHAMTEN, NY 13903
(607) 724-2346
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
1861771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01274928
—
NY
Enumeration date
09/22/2006
Last updated
04/24/2008
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