Provider Demographics
NPI:1811973795
Name:DHATT, AMANJIT (MD)
Entity type:Individual
Prefix:DR
First Name:AMANJIT
Middle Name:
Last Name:DHATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMANJIT
Other - Middle Name:
Other - Last Name:DHATT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:780 KUENZLI ST
Mailing Address - Street 2:STE 202
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-0837
Mailing Address - Country:US
Mailing Address - Phone:775-982-4590
Mailing Address - Fax:775-982-4595
Practice Address - Street 1:1495 MILL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1479
Practice Address - Country:US
Practice Address - Phone:775-982-3500
Practice Address - Fax:775-982-3663
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93429207R00000X
NV13406207R00000X, 207K00000X
IL036120426207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology