MEDICARE: SAHAJPREET K DHILLON BA

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1427919604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAHAJPREET K DHILLON BA

Provider Business Mailing Address
First Line	:	4916 N 9TH ST APT 210
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-0836
Country	:	US
Telephone Number	:	559-723-9478
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 W BULLARD AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-0900
Country	:	US
Telephone Number	:	559-203-3775
Fax Number	:

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

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	11/18/2025

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