Provider Demographics
NPI:1619358512
Name:SAINI, SUNDEEP SINGH (DO)
Entity Type:Individual
Prefix:
First Name:SUNDEEP
Middle Name:SINGH
Last Name:SAINI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:SUNDEEP
Other - Middle Name:SINGH
Other - Last Name:BOPARAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:530 LAKEHURST RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8063
Mailing Address - Country:US
Mailing Address - Phone:732-349-8454
Mailing Address - Fax:732-341-0259
Practice Address - Street 1:530 LAKEHURST RD STE 101
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8063
Practice Address - Country:US
Practice Address - Phone:732-349-8454
Practice Address - Fax:732-341-0259
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB11050000207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery