Provider Demographics
NPI:1881847416
Name:SANDHU, RANJOT S (OD)
Entity type:Individual
Prefix:
First Name:RANJOT
Middle Name:S
Last Name:SANDHU
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5345 SUNRISE BLVD
Mailing Address - Street 2:QUAIL POINTE
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-3546
Mailing Address - Country:US
Mailing Address - Phone:916-966-4700
Mailing Address - Fax:
Practice Address - Street 1:5345 SUNRISE BLVD
Practice Address - Street 2:QUAIL POINTE
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3546
Practice Address - Country:US
Practice Address - Phone:916-966-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13606152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist