Provider Demographics
NPI:1538265483
Name:KAHLON, SURINDERPAL SINGH (MD)
Entity type:Individual
Prefix:MR
First Name:SURINDERPAL
Middle Name:SINGH
Last Name:KAHLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3605 BAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-1067
Mailing Address - Country:US
Mailing Address - Phone:217-497-9090
Mailing Address - Fax:
Practice Address - Street 1:206 N RANDOLPH ST STE 2
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-3976
Practice Address - Country:US
Practice Address - Phone:224-786-1998
Practice Address - Fax:888-815-3583
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360916142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036091614Medicaid
IL09232010OtherBCBS
WI36137-20OtherLICENSE
AZ71253OtherLICENSE
NY320573OtherLICENSE
IN01058575AOtherLICENSE