Basic Information
Provider Information
NPI: 1841557477
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DHILLON
FirstName: ROBINDER
MiddleName: JEET SINGH
NamePrefix: DR.
NameSuffix:  
Credential: M.D., M.B.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7311 GREENHAVEN DR STE 145
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958313595
CountryCode: US
TelephoneNumber: 9162284300
FaxNumber:  
Practice Location
Address1: 10390 COLOMA RD STE B
Address2:  
City: RANCHO CORDOVA
State: CA
PostalCode: 95670
CountryCode: US
TelephoneNumber: 9163632229
FaxNumber: 9163632440
Other Information
ProviderEnumerationDate: 04/20/2012
LastUpdateDate: 07/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500XA150689CAY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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