Individual
PRABHDEEP SANDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 S BUENA VISTA ST, STE 400, BURBANK, CA 91505-4554
(818) 848-0023
(818) 848-3495
Mailing address
191 S BUENA VISTA ST, STE 400, BURBANK, CA 91505-4554
(818) 848-0023
(818) 848-3495
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C54945
CA
207RI0011X
Interventional Cardiology Physician
C54945
CA
Other
Enumeration date
09/13/2005
Last updated
07/06/2012
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