Individual
ANITA R SANDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12201 RENFERT WAY STE 250, AUSTIN, TX 78758-5354
(512) 994-2662
(512) 406-6202
Mailing address
4515 SETON CENTER PKWY STE 215, AUSTIN, TX 78759-5785
(512) 231-5506
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M8314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194009001
—
TX
05
—
194009003
—
TX
Enumeration date
05/02/2007
Last updated
10/14/2019
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