MEDICARE: ANMOL 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	207RR0500X	Rheumatology Physician	S1798	TX

General Provider Information

NPI Number	:	1871792259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANMOL DHILLON M.D.

Provider Business Mailing Address
First Line	:	8722 GREENVILLE AVE STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-7165
Country	:	US
Telephone Number	:	214-833-6965
Fax Number	:

Provider Business Practice Location Address
First Line	:	8722 GREENVILLE AVE STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-7165
Country	:	US
Telephone Number	:	214-833-6965
Fax Number	:

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

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	11/19/2023

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