Provider Demographics
NPI:1174683114
Name:SANDHU, BAKHSHISH SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:BAKHSHISH
Middle Name:SINGH
Last Name:SANDHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2938 KNIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3529
Mailing Address - Country:US
Mailing Address - Phone:215-639-1460
Mailing Address - Fax:215-639-6653
Practice Address - Street 1:2938 KNIGHTS RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3529
Practice Address - Country:US
Practice Address - Phone:215-639-1460
Practice Address - Fax:215-639-6653
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035207E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine