Provider Demographics
NPI:1932736964
Name:DHILLON, RUPINDER K (PA-C)
Entity type:Individual
Prefix:MS
First Name:RUPINDER
Middle Name:K
Last Name:DHILLON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36332 DERBY DOWNS DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2654
Mailing Address - Country:US
Mailing Address - Phone:937-336-7186
Mailing Address - Fax:
Practice Address - Street 1:20236 N. JOHN WAYNE PKWY
Practice Address - Street 2:STE 100
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-2911
Practice Address - Country:US
Practice Address - Phone:520-518-7510
Practice Address - Fax:520-518-7512
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10299363A00000X
NY025971363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant