Provider Demographics
NPI:1922377712
Name:BAINS, SIKANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:SIKANDER
Middle Name:
Last Name:BAINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4849 RONSON CT
Mailing Address - Street 2:STE 217
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-1805
Mailing Address - Country:US
Mailing Address - Phone:619-992-5330
Mailing Address - Fax:858-759-8942
Practice Address - Street 1:4849 RONSON CT
Practice Address - Street 2:STE 217
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1805
Practice Address - Country:US
Practice Address - Phone:619-992-5330
Practice Address - Fax:858-759-8942
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.060186207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine