Provider Demographics
NPI:1013522069
Name:DHILLON, SUNEET KAUR
Entity type:Individual
Prefix:DR
First Name:SUNEET
Middle Name:KAUR
Last Name:DHILLON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 ENRIQUEZ CT
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3506
Mailing Address - Country:US
Mailing Address - Phone:408-726-4465
Mailing Address - Fax:
Practice Address - Street 1:270 ENRIQUEZ CT
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3506
Practice Address - Country:US
Practice Address - Phone:408-726-4465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82158183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist