Provider Demographics
NPI:1770287203
Name:SANDHU, RIMI (PMHNP)
Entity type:Individual
Prefix:
First Name:RIMI
Middle Name:
Last Name:SANDHU
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4319 COPPER SKY LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6465
Mailing Address - Country:US
Mailing Address - Phone:832-774-5219
Mailing Address - Fax:
Practice Address - Street 1:25329 BUDDE RD STE 702
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1695
Practice Address - Country:US
Practice Address - Phone:281-803-5882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1109325363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health