Provider Demographics
NPI:1427075175
Name:DHILLON, SATWANT S (MD)
Entity type:Individual
Prefix:
First Name:SATWANT
Middle Name:S
Last Name:DHILLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 W CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3401
Mailing Address - Country:US
Mailing Address - Phone:559-789-0277
Mailing Address - Fax:
Practice Address - Street 1:229 W CHERRY AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3401
Practice Address - Country:US
Practice Address - Phone:920-563-8900
Practice Address - Fax:920-563-0318
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG76370207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA168983Medicare PIN
WIBD1584108OtherDEA
F15716Medicare UPIN
WI31738700Medicaid