Provider Demographics
NPI:1093894909
Name:KHUNKHUN, SUKHPAL SINGH
Entity Type:Individual
Prefix:MR
First Name:SUKHPAL
Middle Name:SINGH
Last Name:KHUNKHUN
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 1:1305 S COURSON DR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-4721
Mailing Address - Country:US
Mailing Address - Phone:714-507-6919
Mailing Address - Fax:714-827-1965
Practice Address - Street 1:1305 S COURSON DR
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-4721
Practice Address - Country:US
Practice Address - Phone:714-507-6919
Practice Address - Fax:714-827-1965
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography
Not Answered2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
Not Answered2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography