Provider Demographics
NPI:1225026370
Name:SANDHU, RAJINDER S (MD)
Entity Type:Individual
Prefix:MR
First Name:RAJINDER
Middle Name:S
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 1:2663 LEECHBURG RD
Mailing Address - Street 2:
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-3041
Mailing Address - Country:US
Mailing Address - Phone:724-339-1500
Mailing Address - Fax:724-339-3726
Practice Address - Street 1:2663 LEECHBURG RD
Practice Address - Street 2:
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-3041
Practice Address - Country:US
Practice Address - Phone:724-339-1500
Practice Address - Fax:724-339-3726
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018934E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000744086001Medicaid
050030KWKMedicare ID - Type Unspecified
PA000744086001Medicaid