Basic Information
Provider Information
NPI: 1073832143
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DHILLON
FirstName: TEJVEER
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3067
Address2:  
City: YUBA CITY
State: CA
PostalCode: 959923067
CountryCode: US
TelephoneNumber: 5307514784
FaxNumber: 5307514906
Practice Location
Address1: 481 PLUMAS BLVD STE 202
Address2:  
City: YUBA CITY
State: CA
PostalCode: 95991
CountryCode: US
TelephoneNumber: 5307492409
FaxNumber: 5307514793
Other Information
ProviderEnumerationDate: 05/27/2010
LastUpdateDate: 07/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XA120599CAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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