1871852442 NPI number — DR. HARPAUL SINGH SANDHU M.D.

Table of content: DR. HARPAUL SINGH SANDHU M.D. (NPI 1871852442)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871852442 NPI number — DR. HARPAUL SINGH SANDHU M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANDHU
Provider First Name:
HARPAUL
Provider Middle Name:
SINGH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871852442
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/04/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1648 HUNTINGDON PIKE
Provider Second Line Business Mailing Address:
MEDICAL STAFF OFFICE 1ST FLR
Provider Business Mailing Address City Name:
MEADOWBROOK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19046-8001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-938-3450
Provider Business Mailing Address Fax Number:
215-938-3829

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 BUSTLETON PIKE STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FEASTERVILLE TREVOSE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19053-6446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-436-1420
Provider Business Practice Location Address Fax Number:
215-436-6998
Provider Enumeration Date:
05/16/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0001X , with the licence number:  MD457054 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: MD457054 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)