Provider Demographics
NPI:1437199015
Name:SONDHI, DAMANPAUL SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:DAMANPAUL
Middle Name:SINGH
Last Name:SONDHI
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 1:1425 PORTLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-3095
Mailing Address - Country:US
Mailing Address - Phone:585-922-4409
Mailing Address - Fax:585-922-4833
Practice Address - Street 1:1425 PORTLAND AVENUE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3095
Practice Address - Country:US
Practice Address - Phone:585-922-4409
Practice Address - Fax:585-922-4833
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218619207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02534274Medicaid
NYRB6022OtherMEDICARE TELEMEDICINE
NYJ400063620/70005AMedicare PIN
NYRA1464Medicare ID - Type Unspecified
NYH71014Medicare UPIN