Basic Information
| Provider Information | |||||||||
| NPI: | 1780998211 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DHILLON | ||||||||
| FirstName: | SUKHMANDEEP | ||||||||
| MiddleName: | KAUR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29800 BAINBRIDGE RAOD | ||||||||
| Address2: | |||||||||
| City: | SOLON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441395091 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4405196800 | ||||||||
| FaxNumber: | 4405196908 | ||||||||
| Practice Location | |||||||||
| Address1: | 29800 BAINBRIDGE ROAD | ||||||||
| Address2: | |||||||||
| City: | SOLON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4405196800 | ||||||||
| FaxNumber: | 4405196809 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2010 | ||||||||
| LastUpdateDate: | 09/15/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35.120846 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.