Individual
DR. AJIT PAL SINGH SANDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 MOWRY AVE, FREMONT, CA 94536-4113
(510) 790-1511
(510) 791-8820
Mailing address
680 MOWRY AVE, FREMONT, CA 94536-4113
(510) 790-1511
(510) 791-8820
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A34658
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A346580
BLUE SHIELD OF CA PROV#
CA
05
—
00A346580
—
CA
01
—
110004070
RAILROAD MEDICARE #
CA
Enumeration date
08/23/2006
Last updated
10/30/2012
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