MEDICARE: KARNAIL S DHILLON MD

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	2084P0800X	Psychiatry Physician	27921	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	203230	OTHER	AZ	VALUE OPTIONS RBHA
2	5637850	OTHER		FIRST HEALTH
3	AZ0788830	OTHER	AZ	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437257961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARNAIL S DHILLON MD

Provider Business Mailing Address
First Line	:	1000 E INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-4810
Country	:	US
Telephone Number	:	602-603-1440
Fax Number	:	602-603-1439

Provider Business Practice Location Address
First Line	:	1000 E INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-4810
Country	:	US
Telephone Number	:	602-603-1440
Fax Number	:	602-603-1439

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/28/2025

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