Provider Demographics
NPI:1821053844
Name:SAUND, MANDEEP S (MD)
Entity Type:Individual
Prefix:
First Name:MANDEEP
Middle Name:S
Last Name:SAUND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MANDEEP
Other - Middle Name:SINGH
Other - Last Name:SAUND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS
Mailing Address - Street 1:291 INDEPENDENCE DR
Mailing Address - Street 2:SURGICAL SPECIALTIES
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3628
Mailing Address - Country:US
Mailing Address - Phone:617-541-6350
Mailing Address - Fax:617-541-6371
Practice Address - Street 1:291 INDEPENDENCE DR
Practice Address - Street 2:SURGICAL SPECIALTIES
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3628
Practice Address - Country:US
Practice Address - Phone:617-541-6350
Practice Address - Fax:617-541-6371
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220459208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA3806801Medicare PIN
MAA38068Medicare PIN