Provider Demographics
NPI:1629415252
Name:SANDHU, MONICA (DO)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:SANDHU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 GASTON AVE STE 318
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1500
Mailing Address - Country:US
Mailing Address - Phone:469-372-0274
Mailing Address - Fax:469-372-0276
Practice Address - Street 1:3801 GASTON AVE STE 318
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1500
Practice Address - Country:US
Practice Address - Phone:469-372-0274
Practice Address - Fax:469-372-0276
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR8266207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology