MEDICARE: DR. SUKHDEEP KAUR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	233132	NY
2	207R00000X	Internal Medicine Physician	233132	NY

General Provider Information

NPI Number	:	1316176118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUKHDEEP KAUR MD

Provider Business Mailing Address
First Line	:	707 E MAIN ST
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-2650
Country	:	US
Telephone Number	:	845-333-7575
Fax Number	:	845-333-7139

Provider Business Practice Location Address
First Line	:	120 HIGHLAND AVE
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-4713
Country	:	US
Telephone Number	:	845-342-1033
Fax Number	:	845-344-5631

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2009
Last Update Date	:	11/27/2023

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