Provider Demographics
NPI:1407935422
Name:HIRPARA, SANDIP SAUJI (DO)
Entity Type:Individual
Prefix:
First Name:SANDIP
Middle Name:SAUJI
Last Name:HIRPARA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 SOLAREX CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-8624
Mailing Address - Country:US
Mailing Address - Phone:301-663-6162
Mailing Address - Fax:301-246-8467
Practice Address - Street 1:3430 WORTHINGTON BLVD STE 103
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-7018
Practice Address - Country:US
Practice Address - Phone:240-215-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0062139207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
124LMedicare ID - Type Unspecified
I21282Medicare UPIN