Provider Demographics
NPI:1740357581
Name:SANDHU, FARRIS (MD)
Entity type:Individual
Prefix:
First Name:FARRIS
Middle Name:
Last Name:SANDHU
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 N EL CAMINO REAL STE 301
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2814
Mailing Address - Country:US
Mailing Address - Phone:760-230-1200
Mailing Address - Fax:760-230-1744
Practice Address - Street 1:317 N EL CAMINO REAL STE 301
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2814
Practice Address - Country:US
Practice Address - Phone:760-230-1200
Practice Address - Fax:760-230-1744
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78323207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine