Provider Demographics
NPI:1457334062
Name:SANDHU, HARKESH SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:HARKESH
Middle Name:SINGH
Last Name:SANDHU
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 1:3001 DOUGLAS BLVD # 325
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3851
Mailing Address - Country:US
Mailing Address - Phone:916-716-9735
Mailing Address - Fax:
Practice Address - Street 1:6608 MERCY CT
Practice Address - Street 2:STE B
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3171
Practice Address - Country:US
Practice Address - Phone:916-241-9844
Practice Address - Fax:916-241-9845
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50890207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine