Provider Demographics
NPI:1508946971
Name:SHERGILL, KULTAR (MD)
Entity type:Individual
Prefix:
First Name:KULTAR
Middle Name:
Last Name:SHERGILL
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 1:2300 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-4669
Mailing Address - Country:US
Mailing Address - Phone:412-855-5988
Mailing Address - Fax:724-335-8950
Practice Address - Street 1:2300 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-4669
Practice Address - Country:US
Practice Address - Phone:412-855-5988
Practice Address - Fax:724-335-8950
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066099L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics