Provider Demographics
NPI:1881973709
Name:SHAWN DHILLON, M.D., P.C.
Entity type:Organization
Organization Name:SHAWN DHILLON, M.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-261-8800
Mailing Address - Street 1:3333 N. CALVERT ST.
Mailing Address - Street 2:STE. 555 CALVERT MEDICAL GROUP
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2867
Mailing Address - Country:US
Mailing Address - Phone:410-261-8800
Mailing Address - Fax:410-261-8813
Practice Address - Street 1:2701 N CHARLES ST
Practice Address - Street 2:STE. 400 NORTH CHARLES SLEEP CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-4351
Practice Address - Country:US
Practice Address - Phone:410-261-7378
Practice Address - Fax:410-261-2655
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHAWN DHILLON, M.D., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-09
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2279P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary DiagnosticsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD211PMedicare PIN