Provider Demographics
NPI:1972750776
Name:DHINDSA, SUMEET (MD)
Entity type:Individual
Prefix:
First Name:SUMEET
Middle Name:
Last Name:DHINDSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 ROUTE 3 WEST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013
Mailing Address - Country:US
Mailing Address - Phone:862-249-4901
Mailing Address - Fax:973-928-2650
Practice Address - Street 1:1700 ROUTE 3 WEST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013
Practice Address - Country:US
Practice Address - Phone:862-249-4901
Practice Address - Fax:973-928-2650
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09237600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0115291Medicaid
CT004256302Medicaid
CTC03462Medicare PIN
CT004256302Medicaid