Provider Demographics
NPI:1356723266
Name:SANDHU, ARJUN S
Entity type:Individual
Prefix:
First Name:ARJUN
Middle Name:S
Last Name:SANDHU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 DEL NORTE AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4142
Mailing Address - Country:US
Mailing Address - Phone:530-751-4015
Mailing Address - Fax:530-751-4017
Practice Address - Street 1:370 DEL NORTE AVE STE 203
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4142
Practice Address - Country:US
Practice Address - Phone:530-751-4015
Practice Address - Fax:530-751-4017
Is Sole Proprietor?:No
Enumeration Date:2015-06-26
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5469213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery