Provider Demographics
NPI:1124375670
Name:SANDHU, RAJARPREET (RPH)
Entity Type:Individual
Prefix:
First Name:RAJARPREET
Middle Name:
Last Name:SANDHU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17733 SANIBEL CIR
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46062-7636
Mailing Address - Country:US
Mailing Address - Phone:317-804-2396
Mailing Address - Fax:
Practice Address - Street 1:15160 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1399
Practice Address - Country:US
Practice Address - Phone:317-815-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024775A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist