Provider Demographics
NPI:1659662310
Name:DHILLON, SUKHBIR (MD)
Entity Type:Individual
Prefix:
First Name:SUKHBIR
Middle Name:
Last Name:DHILLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19755 W 105TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7514
Mailing Address - Country:US
Mailing Address - Phone:913-709-7578
Mailing Address - Fax:
Practice Address - Street 1:1000 EAST, 24TH STREET
Practice Address - Street 2:CENTER FOR BEHAVIORAL MEDICINE
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-512-7481
Practice Address - Fax:816-512-7486
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011010020390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program