Provider Demographics
NPI:1790929263
Name:SANDHU, NINA KAUR (DO)
Entity Type:Individual
Prefix:DR
First Name:NINA
Middle Name:KAUR
Last Name:SANDHU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:NINA
Other - Middle Name:KAUR
Other - Last Name:SANDHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3801 GASTON AVE
Mailing Address - Street 2:SUITE 318- 320
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1541
Mailing Address - Country:US
Mailing Address - Phone:214-821-3591
Mailing Address - Fax:
Practice Address - Street 1:3801 GASTON AVE
Practice Address - Street 2:#320
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246
Practice Address - Country:US
Practice Address - Phone:214-821-3591
Practice Address - Fax:214-821-3594
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0557207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine