Individual
SHABNAM KAUR DHILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7230 N MILLBROOK AVE, FRESNO, CA 93720-3340
(559) 431-6197
(559) 431-8827
Mailing address
7230 N MILLBROOK AVE, FRESNO, CA 93720-3340
(559) 431-6197
(559) 431-8827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD475090
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
197386
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103540028
—
PA
01
—
1W2212
MEDICARE
PA
01
—
1W4886
MEDICARE
PA
Enumeration date
03/30/2018
Last updated
01/15/2025
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