Provider Demographics
NPI:1821822131
Name:DHESI, JASMILAN SINGH
Entity type:Individual
Prefix:
First Name:JASMILAN
Middle Name:SINGH
Last Name:DHESI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2484 S BUNDY DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-9036
Mailing Address - Country:US
Mailing Address - Phone:559-801-5502
Mailing Address - Fax:
Practice Address - Street 1:2484 S BUNDY DR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-9036
Practice Address - Country:US
Practice Address - Phone:559-801-5502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172A00000X, 372600000X
CAY7212817347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No172A00000XOther Service ProvidersDriver
No372600000XNursing Service Related ProvidersAdult Companion