Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 063651 | GA |
N | 207RH0003X | Hematology & Oncology | A100345 | CA |
N | 207RX0202X | Medical Oncology | 63651 | GA |
NPI | 1124282843 |
---|---|
Provider Name | Dr. Navneet Dhillon |
First Address | Atlanta, GA 30341-1072 |
Second Address | Canton, GA 30114-5256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2008 |
Last Update Date | 24/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202I908445 | MEDICARE PTAN (01) | GA |
555123844F | (05) | GA |
555123844K | (05) | GA |