Provider Demographics
NPI:1588077085
Name:AMARJEET S. DHILLON M.
Entity type:Organization
Organization Name:AMARJEET S. DHILLON M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMARJEET
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-847-7464
Mailing Address - Street 1:4807 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4263
Mailing Address - Country:US
Mailing Address - Phone:727-847-7464
Mailing Address - Fax:727-847-0692
Practice Address - Street 1:4807 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4263
Practice Address - Country:US
Practice Address - Phone:727-847-7464
Practice Address - Fax:727-847-0692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371689900Medicaid
FLD91844Medicare UPIN
FL10843Medicare PIN