Healthcare Provider Details

I. General information

NPI: 1629470455
Provider Name (Legal Business Name): DILPREET BAL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2014
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5055 SUN VALLEY BLVD STE 100
SUN VALLEY NV
89433-8296
US

IV. Provider business mailing address

680 S ROCK BLVD
RENO NV
89502-4113
US

V. Phone/Fax

Practice location:
  • Phone: 775-329-6300
  • Fax: 775-348-3896
Mailing address:
  • Phone: 775-329-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA1656
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: