Individual
JASBIR S DHILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 NORTHCREST DR, SPRINGFIELD, TN 37172-3927
(615) 384-1536
Mailing address
9025 OVERLOOK BLVD, BRENTWOOD, TN 37027-2708
(615) 377-6668
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO0000002190
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095948
PASSPORT
KY
01
—
2436109000
PASSPORT ADVANTAGE
KY
05
—
64025141
—
KY
Enumeration date
04/28/2006
Last updated
11/14/2012
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