MEDICARE: MANDEEP DHILLON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F03260528	CA

General Provider Information

NPI Number	:	1700734381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANDEEP DHILLON

Provider Business Mailing Address
First Line	:	10805 N MATUS AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93730-9722
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10805 N MATUS AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93730-9722
Country	:	US
Telephone Number	:	559-286-9110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “ MANDEEP DHILLON ” Practice Location

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