Healthcare Provider Details

I. General information

NPI: 1578908588
Provider Name (Legal Business Name): SATBIR KAUR DHILLON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2013
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S WESTERN AVE
TONASKET WA
98855-8803
US

IV. Provider business mailing address

203 S. WESTERN AVE C/O: CREDENTIALING
TONASKET WA
98855
US

V. Phone/Fax

Practice location:
  • Phone: 509-486-2151
  • Fax: 509-486-3176
Mailing address:
  • Phone: 509-486-2151
  • Fax: 509-223-1728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD60976566
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD60976566
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD60976566
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: