Provider Demographics
NPI:1265737704
Name:SANDHOO, AMANDEEP CHHABRA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:AMANDEEP
Middle Name:CHHABRA
Last Name:SANDHOO
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:10810 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2138
Mailing Address - Country:US
Mailing Address - Phone:301-929-7560
Mailing Address - Fax:301-929-7473
Practice Address - Street 1:10810 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2138
Practice Address - Country:US
Practice Address - Phone:301-929-7560
Practice Address - Fax:301-929-7473
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0110003462363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant