Provider Demographics
NPI:1023089463
Name:DHILLON, SUNDEEP S (MD)
Entity type:Individual
Prefix:DR
First Name:SUNDEEP
Middle Name:S
Last Name:DHILLON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1886 W AUBURN RD
Mailing Address - Street 2:STE 400
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3865
Mailing Address - Country:US
Mailing Address - Phone:248-267-5010
Mailing Address - Fax:248-267-5011
Practice Address - Street 1:4600 INVESTMENT DR
Practice Address - Street 2:STE 290
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098
Practice Address - Country:US
Practice Address - Phone:248-267-5010
Practice Address - Fax:248-267-5011
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2019-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301070070207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4218470Medicaid
G47550Medicare UPIN
M54550003Medicare ID - Type Unspecified