Provider Demographics
NPI:1992375778
Name:SANDHAR, SUKHBIR KAUR (DPM)
Entity Type:Individual
Prefix:DR
First Name:SUKHBIR
Middle Name:KAUR
Last Name:SANDHAR
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:SUKIE
Other - Middle Name:KAUR
Other - Last Name:SANDHAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:3000 S ALASKA ST UNIT 209
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-2270
Mailing Address - Country:US
Mailing Address - Phone:216-789-5320
Mailing Address - Fax:
Practice Address - Street 1:747 BROADWAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4379
Practice Address - Country:US
Practice Address - Phone:206-386-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA611814221213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery