MEDICARE: PERMINDER 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	207R00000X	Internal Medicine Physician	223352	NY
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	223352	NY

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	:	1497755904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERMINDER DHILLON M.D.

Provider Business Mailing Address
First Line	:	506 6TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3609
Country	:	US
Telephone Number	:	718-780-5246
Fax Number	:

Provider Business Practice Location Address
First Line	:	506 6TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3609
Country	:	US
Telephone Number	:	718-780-5246
Fax Number	:

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	06/14/2024

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Directions to “ PERMINDER DHILLON M.D.” Practice Location

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