Provider Demographics
NPI:1578552568
Name:DHILLON, HARMOHINDER SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:HARMOHINDER
Middle Name:SINGH
Last Name:DHILLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1780
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44036-1780
Mailing Address - Country:US
Mailing Address - Phone:440-329-7305
Mailing Address - Fax:440-329-7798
Practice Address - Street 1:125 E BROAD ST
Practice Address - Street 2:STE 202
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-6400
Practice Address - Country:US
Practice Address - Phone:440-329-7305
Practice Address - Fax:440-329-7798
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 073299207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2199464Medicaid
OH2199464Medicaid
H26895Medicare UPIN