Provider Demographics
NPI:1386779296
Name:DHUPER, SUNIL K (MD)
Entity type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:K
Last Name:DHUPER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:47 RED GROUND ROAD
Mailing Address - Street 2:
Mailing Address - City:OLD WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11568
Mailing Address - Country:US
Mailing Address - Phone:516-967-1892
Mailing Address - Fax:877-434-7939
Practice Address - Street 1:8 TECHNOLOGY DRIVE
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733
Practice Address - Country:US
Practice Address - Phone:631-652-0122
Practice Address - Fax:877-434-7939
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2021-04-26
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Provider Licenses
StateLicense IDTaxonomies
NY189320207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG46024Medicare UPIN