Provider Demographics
NPI:1164811204
Name:SANDHU, KARAMJEET KAUR (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KARAMJEET
Middle Name:KAUR
Last Name:SANDHU
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 S GROVE ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-5782
Mailing Address - Country:US
Mailing Address - Phone:734-483-7136
Mailing Address - Fax:734-483-3422
Practice Address - Street 1:428 S GROVE ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-5782
Practice Address - Country:US
Practice Address - Phone:734-483-7136
Practice Address - Fax:734-483-3422
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704261422363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner