Provider Demographics
NPI:1376586198
Name:SANDHU, HARPARTAP (MD)
Entity Type:Individual
Prefix:
First Name:HARPARTAP
Middle Name:
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 1:939 SAJAKEED DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-2045
Mailing Address - Country:US
Mailing Address - Phone:314-369-5885
Mailing Address - Fax:
Practice Address - Street 1:939 SAJAKEED DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-2045
Practice Address - Country:US
Practice Address - Phone:314-369-5885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103918207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208611012Medicaid
MO426403OtherHEALTHLINK
MO124884OtherBLUE CROSS
MO930091332OtherRAILROAD MEDICARE
MO947071631OtherMERCYHEALTH
MO426403OtherHEALTHLINK
MO124884OtherBLUE CROSS
MOG37526Medicare UPIN
MO947895005Medicare PIN