Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 003197 | NY |
N | 111NI0900X | Internist | 003197 | NY |
Y | 207RP1001X | Pulmonary Disease | 003197 | NY |
NPI | 1013987718 |
---|---|
Provider Name | Samjot S Dhillon |
First Address | Buffalo, NY 14263-0001 |
Second Address | Buffalo, NY 14263-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 17/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03023154 | (05) | NY |