Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101226595 | VA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 0101226595 | VA |
NPI | 1003815218 |
---|---|
Provider Name | Manjit S. Dhillon |
First Address | Richmond, VA 23291-1734 |
Second Address | Colonial Heights, VA 23834-2986 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 25/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H14865 | (02) | VA |