Provider Demographics
NPI:1073035846
Name:SANDHU, NIRBIR (RCS, CRS)
Entity Type:Individual
Prefix:MRS
First Name:NIRBIR
Middle Name:
Last Name:SANDHU
Suffix:
Gender:F
Credentials:RCS, CRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 W MAGNOLIA ST STE 505
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4369
Mailing Address - Country:US
Mailing Address - Phone:604-723-6750
Mailing Address - Fax:
Practice Address - Street 1:114 W MAGNOLIA ST STE 505
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4369
Practice Address - Country:US
Practice Address - Phone:604-723-6750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000670692085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound