Healthcare Provider Details

I. General information

NPI: 1881973709
Provider Name (Legal Business Name): SHAWN DHILLON, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 09/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 N CHARLES ST STE. 400 NORTH CHARLES SLEEP CENTER
BALTIMORE MD
21218-4351
US

IV. Provider business mailing address

3333 N. CALVERT ST. STE. 555 CALVERT MEDICAL GROUP
BALTIMORE MD
21218-2867
US

V. Phone/Fax

Practice location:
  • Phone: 410-261-7378
  • Fax: 410-261-2655
Mailing address:
  • Phone: 410-261-8800
  • Fax: 410-261-8813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279P1004X
TaxonomyPulmonary Diagnostics Registered Respiratory Therapist
License Number
License Number StateMD

VIII. Authorized Official

Name: DR. SHAWN DHILLON
Title or Position: OWNER
Credential: M.D.
Phone: 410-261-8800