Provider Demographics
NPI:1780998211
Name:DHILLON, SUKHMANDEEP KAUR
Entity type:Individual
Prefix:
First Name:SUKHMANDEEP
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 1:29800 BAINBRIDGE RAOD
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5091
Mailing Address - Country:US
Mailing Address - Phone:440-519-6800
Mailing Address - Fax:440-519-6908
Practice Address - Street 1:29800 BAINBRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139
Practice Address - Country:US
Practice Address - Phone:440-519-6800
Practice Address - Fax:440-519-6809
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.120846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine