Provider Demographics
NPI:1982629671
Name:SANDHU, AMRIT PAL SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:AMRIT PAL
Middle Name:SINGH
Last Name:SANDHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AMRIT
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 34876
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1876
Mailing Address - Country:US
Mailing Address - Phone:425-656-5412
Mailing Address - Fax:425-656-4096
Practice Address - Street 1:16850 SE 272ND ST
Practice Address - Street 2:STE 100
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-4931
Practice Address - Country:US
Practice Address - Phone:253-395-1971
Practice Address - Fax:253-395-1983
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60329929207RR0500X
MS19829207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4422044Medicaid
AL123832Medicaid
MS302I665905Medicare PIN
WA1982629671Medicaid
MS302I663083Medicare PIN
MSP01149217Medicare PIN
MS03153815Medicaid
MSP00781857Medicare PIN