| N/a | |
|
6069 N 1st St Ste 103 Fresno CA 93710-5467 | |
| (559) 431-8900 | |
| (559) 431-4367 |
| Full Name | N/a |
|---|---|
| Speciality | Internal Medicine |
| Location | 6069 N 1st St Ste 103, Fresno, California |
| Authorized Official Name and Position | Gurmej Singh Dhillon (PRESIDENT) |
| Authorized Official Contact | 5594318900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a Po Box 25880 Fresno CA 93729-5880 Ph: (559) 431-8900 | N/a 6069 N 1st St Ste 103 Fresno CA 93710-5467 Ph: (559) 431-8900 |
| NPI Number | 1700890043 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 08/13/2015 |
| Medicare PECOS PAC ID | 4789628462 |
|---|---|
| Medicare Enrollment ID | O20050614000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700890043 | NPI | - | NPPES |
| AQ861Z | Other | CA | CMS |
| GR0089960 | Medicaid | CA | |
| ZZZ02137Z | Other | CA | BLUE SHIELD PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | AQ861Z (California) | Primary |
| Provider Name | Gurmej Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336156728 PECOS PAC ID: 1759327232 Enrollment ID: I20051109000493 |
| Provider Name | Jasneet Kullar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639415870 PECOS PAC ID: 8527293166 Enrollment ID: I20150204001273 |
| Provider Name | Napinder K Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558062398 PECOS PAC ID: 3375900640 Enrollment ID: I20230531002727 |
| Provider Name | Tanjot Singh Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124655444 PECOS PAC ID: 1052773850 Enrollment ID: I20230810002356 |
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