Provider Demographics
NPI:1760542872
Name:DHILLON, BELA (MD)
Entity Type:Individual
Prefix:MRS
First Name:BELA
Middle Name:
Last Name:DHILLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BELA
Other - Middle Name:
Other - Last Name:SEKHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2615 E CLINTON AVE
Mailing Address - Street 2:PWA CLINIC MEDICAL SERVICES
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703
Mailing Address - Country:US
Mailing Address - Phone:559-225-6100
Mailing Address - Fax:559-228-6913
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:PWA CLINIC MEDICAL SERVICES
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703
Practice Address - Country:US
Practice Address - Phone:559-225-6100
Practice Address - Fax:559-228-6913
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94747207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABD9955127OtherDEA
CAI50209Medicare UPIN
I50209Medicare UPIN