Kahlon Surinderpal S

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036091614 Issued in IL

Legal business name

KAHLON SURINDERPAL S

Doing business as

EXAMMD CLINIC

Practice address

601 N Logan Ave
Danville, IL 61832-4320

Phone

(217) 442-4055

Fax

(425) 795-5915

NPI assigned

Jan 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Surinderpal S Kahlon, M.D.NPI 1538265483

Title

Psychiatrist

Phone

(217) 497-9090

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• EXAMMD CLINIC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Surinderpal Singh Kahlon, M.D.

  • Psychiatry Physician
  • Champaign, IL
  • NPI 1538265483
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1720350275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324320",
            "telephone_number": "217-442-4055",
            "fax_number": "425-795-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324320",
            "telephone_number": "217-442-4055",
            "fax_number": "425-795-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHLON SURINDERPAL S",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "KAHLON",
        "authorized_official_first_name": "SURINDERPAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "217-497-9090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036091614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "36137-20",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091614",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09232010",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01058575A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXAMMD CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nafeesah S Jor'Dan, DNP, FNP-BC
• Damien Jordan
• Susan E. Jordan, APN
• Roger Charles Joy, M.D.
• Judith Juhala, PHD, HSPP
• Stephanie Anne Kaiser, PHARM.D.
• Glenda F Kaplan, MD
• Jenna Karajeh, PHARMD
• Katie Keil, PH.D.
• James B Kelley, O.D.

• Clinic/Center in Danville, IL
• Providers in Danville, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.