Provider Demographics
NPI:1871792259
Name:DHILLON, ANMOL (MD)
Entity type:Individual
Prefix:
First Name:ANMOL
Middle Name:
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 1:8722 GREENVILLE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-7165
Mailing Address - Country:US
Mailing Address - Phone:214-833-6965
Mailing Address - Fax:
Practice Address - Street 1:8722 GREENVILLE AVE STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-7165
Practice Address - Country:US
Practice Address - Phone:214-833-6965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2023-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS1798207RR0500X, 207RR0500X
PAMD471937207RR0500X
MI4301106471207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology