Provider Demographics
NPI:1417940875
Name:DHILLON, ROBIN KANWAR (M D)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:KANWAR
Last Name:DHILLON
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1254 TY DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-4110
Mailing Address - Country:US
Mailing Address - Phone:330-721-9597
Mailing Address - Fax:
Practice Address - Street 1:1254 TY DR
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-4110
Practice Address - Country:US
Practice Address - Phone:330-721-9597
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-078887208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSE38950Medicare UPIN