Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MT220617 | PA |
Y | 111NI0900X | Internist | MT220617 | PA |
NPI | 1003430034 |
---|---|
Provider Name | Dr. Premjeet Singh Dhillon |
First Address | Sayre, PA 18840-1625 |
Second Address | Sayre, PA 18840-1625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2020 |
Last Update Date | 22/03/2021 |