Provider Demographics
NPI:1578534368
Name:KHURANA, DALIP KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:DALIP
Middle Name:KUMAR
Last Name:KHURANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5 HIDDEN MEADOW
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3422
Mailing Address - Country:US
Mailing Address - Phone:716-667-3707
Mailing Address - Fax:716-592-4177
Practice Address - Street 1:15 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:14141-1000
Practice Address - Country:US
Practice Address - Phone:716-592-4166
Practice Address - Fax:716-592-4177
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY139722-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY139722-1OtherNY LICENSE
CA40482OtherCALIFORNIA LICENSE
NYAK-1708190OtherDEA
NY20-2270112OtherEIN
NYB35592Medicare UPIN
NY139722-1OtherNY LICENSE