Provider Demographics
NPI:1477628147
Name:DHILLON, SATINDER (MD)
Entity Type:Individual
Prefix:
First Name:SATINDER
Middle Name:
Last Name:DHILLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 TURNPIKE ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2705
Mailing Address - Country:US
Mailing Address - Phone:508-427-5599
Mailing Address - Fax:508-427-9349
Practice Address - Street 1:1073 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-427-5599
Practice Address - Fax:508-427-9349
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71835207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
14215OtherHARVARD PILGRIM
B20565901OtherHEALTH SOURCE
MAJ10786OtherBCBS
B20565901OtherCIGNA
MA3074331Medicaid
P00213606OtherMEDICARE RAILROAD
071835OtherTUFTS
MA2383244OtherAETNA
3000342OtherUNITED HEALTH
3000342OtherUNITED HEALTH
MAJ10786Medicare ID - Type Unspecified