Basic Information
| Provider Information | |||||||||
| NPI: | 1174683114 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SANDHU | ||||||||
| FirstName: | BAKHSHISH | ||||||||
| MiddleName: | SINGH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2938 KNIGHTS RD | ||||||||
| Address2: | |||||||||
| City: | BENSALEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190203529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156391460 | ||||||||
| FaxNumber: | 2156396653 | ||||||||
| Practice Location | |||||||||
| Address1: | 2938 KNIGHTS RD | ||||||||
| Address2: | |||||||||
| City: | BENSALEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190203529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156391460 | ||||||||
| FaxNumber: | 2156396653 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD035207E | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.