Healthcare Provider Details

I. General information

NPI: 1578534368
Provider Name (Legal Business Name): DALIP KUMAR KHURANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 COMMERCE DR
SPRINGVILLE NY
14141-1000
US

IV. Provider business mailing address

5 HIDDEN MEADOW
ORCHARD PARK NY
14127-3422
US

V. Phone/Fax

Practice location:
  • Phone: 716-592-4166
  • Fax: 716-592-4177
Mailing address:
  • Phone: 716-667-3707
  • Fax: 716-592-4177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number139722-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: