Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 4301070070 | MI |
NPI | 1023089463 |
---|---|
Provider Name | Dr. Sundeep S Dhillon |
First Address | Rochester Hills, MI 48309-3865 |
Second Address | Troy, MI 48098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 06/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4218470 | (05) | MI |
G47550 | (02) |