Individual
SUNIL KINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
727 POTRANCO RD., APT. 2104, SAN ANTONIO, TX 78251
(954) 847-9297
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036130392
IL
2085R0202X
Diagnostic Radiology Physician
058050
GA
2085R0202X
Diagnostic Radiology Physician
4301076286
MI
2085R0202X
Diagnostic Radiology Physician
Primary
C160552
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300F362420
BCBSM
MI
05
—
4749634
—
MI
Enumeration date
03/22/2006
Last updated
04/26/2023
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