Provider Demographics
NPI:1851321038
Name:ANAHAT KAUR SANDHU, MD, INC
Entity Type:Organization
Organization Name:ANAHAT KAUR SANDHU, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAHAT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:SANDHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-299-9001
Mailing Address - Street 1:970 DEWING AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4291
Mailing Address - Country:US
Mailing Address - Phone:925-299-9001
Mailing Address - Fax:925-299-9001
Practice Address - Street 1:970 DEWING AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4291
Practice Address - Country:US
Practice Address - Phone:925-299-9001
Practice Address - Fax:925-299-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60169207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherFEDERAL TAX ID NO. (TIN)