Individual
DR. MANDEEP SANDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19415 DEERFIELD AVE, SUITE 115, LANSDOWNE, VA 20176-8452
(703) 729-2626
(703) 729-3141
Mailing address
19415 DEERFIELD AVE, SUITE 115, LANSDOWNE, VA 20176-8452
(703) 729-2626
(703) 729-3141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101221173
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236002
ANTHEM
VA
05
—
5865557
—
VA
01
—
P00311835
MEDICARE RAILROAD
—
Enumeration date
07/26/2005
Last updated
02/27/2008
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