Provider Demographics
NPI:1275655441
Name:SANDHU, AMOLAK SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:AMOLAK
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 1:5607 N GREENWAY CT
Mailing Address - Street 2:CONDO C
Mailing Address - City:HIGHLAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1975
Mailing Address - Country:US
Mailing Address - Phone:440-446-9932
Mailing Address - Fax:
Practice Address - Street 1:5607 N GREENWAY CT
Practice Address - Street 2:CONDO C
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-1975
Practice Address - Country:US
Practice Address - Phone:440-446-9932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPENDING282N00000X
OH35089613207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No282N00000XHospitalsGeneral Acute Care Hospital