Provider Demographics
NPI:1710683305
Name:SANDHU, HARSIMRANJIT KAUR (NP)
Entity Type:Individual
Prefix:
First Name:HARSIMRANJIT
Middle Name:KAUR
Last Name:SANDHU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5928 W ROBINSON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-7553
Mailing Address - Country:US
Mailing Address - Phone:559-500-8041
Mailing Address - Fax:
Practice Address - Street 1:1348 W HERNDON AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-7181
Practice Address - Country:US
Practice Address - Phone:559-573-7260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95023246207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine