Healthcare Provider Details

I. General information

NPI: 1922249150
Provider Name (Legal Business Name): DR. GITIKA DHILLON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2009
Last Update Date: 05/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N CALVERT ST SUITE 520
BALTIMORE MD
21218-2867
US

IV. Provider business mailing address

3333 N CALVERT ST SUITE 520
BALTIMORE MD
21218-2867
US

V. Phone/Fax

Practice location:
  • Phone: 410-554-6516
  • Fax:
Mailing address:
  • Phone: 410-554-6516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberD65520
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: