Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUBENA KAUR MAHAL TILLEY, D.O.
ActiveSUBENA KAUR MAHAL TILLEY, D.O. is a Adolescent Medicine healthcare provider located in FREMONT, California. NPI 1265578793 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · FREMONT, CA
Registration Details
- NPI Number
- 1265578793
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2007 (19.561933296747 yrs)
- Last Updated
- Jul 16, 2008
- Licenses
-
DR43802 (CO)20A10442 (CA)
Practice Information
- Address
-
39225 STATE STFREMONT, CA, 945381437Browse CA providers · Browse ZIP 94538
- Phone
- 5107941990
- Fax
- 5107943641
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
Other Adolescent Medicine Providers in FREMONT, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SURJIT KAUR MAHAL | M.D. | 1609920156 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.