MEDICARE: TEJWANT SINGH DHILLON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	74248	WI
2	207RC0000X	Cardiovascular Disease Physician	A94192	CA
3	207RI0011X	Interventional Cardiology Physician	74248	WI
4	207RC0000X	Cardiovascular Disease Physician	MD2022-0624	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356395800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEJWANT SINGH DHILLON M.D.

Provider Business Mailing Address
First Line	:	1313 E HERNDON AVE
Second Line	:	STE 203
City	:	FRESNO
State	:	CA
Zip	:	93720-3306
Country	:	US
Telephone Number	:	559-439-6808
Fax Number	:	559-439-9335

Provider Business Practice Location Address
First Line	:	407 S SCHWARTZ AVE STE 202
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-5925
Country	:	US
Telephone Number	:	505-609-6770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	03/28/2025

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Directions to “ TEJWANT SINGH DHILLON M.D.” Practice Location

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