Provider Demographics
NPI:1831184316
Name:DHILLON, AMARJEET S (MD)
Entity type:Individual
Prefix:MR
First Name:AMARJEET
Middle Name:S
Last Name:DHILLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4807 US HIGHWAY 19
Mailing Address - Street 2:STE 204
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4260
Mailing Address - Country:US
Mailing Address - Phone:727-847-7464
Mailing Address - Fax:727-847-0692
Practice Address - Street 1:4807 US HIGHWAY 19
Practice Address - Street 2:STE 204
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4260
Practice Address - Country:US
Practice Address - Phone:727-847-7464
Practice Address - Fax:727-847-0692
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00568182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371689900Medicaid
FL260015959OtherRAILROAD MEDICARE
D91844Medicare UPIN
18043Medicare ID - Type Unspecified