Provider Demographics
NPI:1437287042
Name:A.S. SAWHNEY, M.D., INC.
Entity Type:Organization
Organization Name:A.S. SAWHNEY, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:AJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAWHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-641-9696
Mailing Address - Street 1:11100 WARNER AVE
Mailing Address - Street 2:SUITE 218
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7511
Mailing Address - Country:US
Mailing Address - Phone:714-641-9696
Mailing Address - Fax:714-641-1211
Practice Address - Street 1:11100 WARNER AVE
Practice Address - Street 2:SUITE 218
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7511
Practice Address - Country:US
Practice Address - Phone:714-641-9696
Practice Address - Fax:714-641-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25449207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA86919Medicare UPIN
CAWA25449CMedicare ID - Type Unspecified