Provider Demographics
NPI:1104058718
Name:DHILLON, PUSHPINDER (MD, FACOG)
Entity type:Individual
Prefix:DR
First Name:PUSHPINDER
Middle Name:
Last Name:DHILLON
Suffix:
Gender:F
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-1455
Mailing Address - Country:US
Mailing Address - Phone:540-373-7667
Mailing Address - Fax:540-373-7676
Practice Address - Street 1:412 CAMBRIDGE STREET
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-1455
Practice Address - Country:US
Practice Address - Phone:540-373-7667
Practice Address - Fax:540-373-7676
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251867207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine