Provider Demographics
NPI:1609092741
Name:DHILLON, SHAMSHER KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAMSHER
Middle Name:KAUR
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 1:3600 VESTAL PARKWAY EAST
Mailing Address - Street 2:HEALTH SERVICES
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13902-6000
Mailing Address - Country:US
Mailing Address - Phone:607-777-2221
Mailing Address - Fax:607-777-2881
Practice Address - Street 1:3600 VESTAL PARKWAY EAST
Practice Address - Street 2:HEALTH SERVICES
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13902-6000
Practice Address - Country:US
Practice Address - Phone:607-777-2221
Practice Address - Fax:607-777-2881
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205764-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine