Provider Demographics
NPI:1235636002
Name:DHANDA, GURPREET (MD)
Entity Type:Individual
Prefix:
First Name:GURPREET
Middle Name:
Last Name:DHANDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 OLATHE BLVD
Mailing Address - Street 2:MEDICAL OFFICE BUILDING
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-1908
Mailing Address - Fax:913-588-8387
Practice Address - Street 1:2000 OLATHE BLVD
Practice Address - Street 2:MEDICAL OFFICE BUILDING
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-1908
Practice Address - Fax:913-588-8387
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-44779207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine