MEDICARE: RUPINDERJIT SINGH 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	207R00000X	Internal Medicine Physician	MD-50501	IA
2	208M00000X	Hospitalist Physician	036162165	IL
3	208M00000X	Hospitalist Physician	MD.203869	LA
4	208M00000X	Hospitalist Physician	MD-50501	IA
5	207R00000X	Internal Medicine Physician	2015001549	MO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619167483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUPINDERJIT SINGH DHILLON MD

Provider Business Mailing Address
First Line	:	11550 OLIVE BLVD
Second Line	:	STE 140
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-7111
Country	:	US
Telephone Number	:	314-205-8344
Fax Number	:	314-590-5931

Provider Business Practice Location Address
First Line	:	11550 OLIVE BLVD
Second Line	:	STE 140
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-7111
Country	:	US
Telephone Number	:	314-205-8344
Fax Number	:	314-590-5931

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

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	09/18/2025

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