Provider Demographics
NPI:1912268095
Name:DHINDSA, MANDEEP SINGH (MD)
Entity Type:Individual
Prefix:
First Name:MANDEEP
Middle Name:SINGH
Last Name:DHINDSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3419 PEPPERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2233
Mailing Address - Country:US
Mailing Address - Phone:512-968-0812
Mailing Address - Fax:
Practice Address - Street 1:7210 MURRAY DR
Practice Address - Street 2:COMMUNITY MEDICAL CENTERS, INC.
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-3339
Practice Address - Country:US
Practice Address - Phone:209-373-2800
Practice Address - Fax:209-373-2878
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2015-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA136167207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine