Individual
PRITPAL SANDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14416 W MEEKER BLVD, STE 300, SUN CITY WEST, AZ 85375-5284
(623) 583-5271
(623) 583-6535
Mailing address
14674 W MOUNTAIN VIEW BLVD, STE 200, SURPRISE, AZ 85374-2708
(623) 876-3800
(623) 876-6965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40128
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357232
—
AZ
01
—
P00654783
MEDICARE RAILROAD#
AZ
Enumeration date
02/27/2007
Last updated
03/08/2017
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