MEDICARE: GURTEJ 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	207R00000X	Internal Medicine Physician	A50100	CA

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	:	1861567307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GURTEJ S DHILLON MD

Provider Business Mailing Address
First Line	:	1912 S COURT ST
Second Line	:	STE A
City	:	VISALIA
State	:	CA
Zip	:	93277-5426
Country	:	US
Telephone Number	:	559-733-7090
Fax Number	:	559-733-7175

Provider Business Practice Location Address
First Line	:	1912 SOUTH COURT
Second Line	:	STE A
City	:	VISALIA
State	:	CA
Zip	:	93277
Country	:	US
Telephone Number	:	559-733-7090
Fax Number	:	559-733-7175

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	12/13/2012

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