# PREETENDER SANDHU MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114132131
- **Authorized official:** LOUISE MACY (BILLING MGR)
- **Authorized official phone:** (410) 298-8223

## Contact information

- **Practice address:** 1940 W BALTIMORE ST, BALTIMORE, MD 21223-2245
- **Practice address phone:** (410) 362-4481
- **Practice address fax:** (410) 298-8225
- **Mailing address:** 4957 ELLIS LN, ELLICOTT CITY, MD 21043-6852
- **Mailing address phone:** (410) 747-0360
- **Mailing address fax:** (410) 298-8225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0057543 | MD | Yes |

## Other

- **Enumeration date:** 05/12/2007
- **Last updated:** 08/22/2020