Provider Demographics
NPI:1518054808
Name:DHILLON, UJAGGER SINGH (MD, FACG)
Entity Type:Individual
Prefix:DR
First Name:UJAGGER
Middle Name:SINGH
Last Name:DHILLON
Suffix:
Gender:M
Credentials:MD, FACG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 N FRESNO ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2457
Mailing Address - Country:US
Mailing Address - Phone:559-438-8400
Mailing Address - Fax:559-438-0477
Practice Address - Street 1:7405 N FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2457
Practice Address - Country:US
Practice Address - Phone:559-438-8400
Practice Address - Fax:559-438-0477
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36464207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A364641Medicaid
CA00A364641Medicaid
CA00A364641Medicare ID - Type Unspecified