Healthcare Provider Details

I. General information

NPI: 1861797425
Provider Name (Legal Business Name): AMANJIT DHATT, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2011
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6580 S MCCARRAN BLVD STE C
RENO NV
89509-6140
US

IV. Provider business mailing address

8175 S VIRGINIA ST STE 850-214
RENO NV
89511-8922
US

V. Phone/Fax

Practice location:
  • Phone: 775-440-1500
  • Fax:
Mailing address:
  • Phone: 775-440-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number13406
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMANJIT DHATT
Title or Position: OWNER
Credential: MD
Phone: 775-440-1500