Healthcare Provider Details

I. General information

NPI: 1932317260
Provider Name (Legal Business Name): ARVINDER SINGH DHILLON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29877 TELEGRAPH RD SUITE 401
SOUTHFIELD MI
48034-1332
US

IV. Provider business mailing address

29877 TELEGRAPH RD STE 401
SOUTHFIELD MI
48034-7661
US

V. Phone/Fax

Practice location:
  • Phone: 781-710-3843
  • Fax:
Mailing address:
  • Phone: 248-651-8344
  • Fax: 248-651-8024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036.158454
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number4301099580
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number35.143596
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: