Individual
SURENDER KUMAR SANDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2109 GREEN VALLEY RD, NEW ALBANY, IN 47150-4693
(812) 948-2232
(812) 945-0869
Mailing address
2109 GREEN VALLEY RD, NEW ALBANY, IN 47150-4693
(812) 948-2232
(812) 945-0869
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01069610A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01069610A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009965760
—
AL
05
—
03055020
—
MS
01
—
051504691
BCBS AL
AL
01
—
060066788
PALMETTO GBA RR MEDICARE
—
01
—
2510727
UNITED HEALTHCARE
—
01
—
4029085
BCBS TN
TN
Enumeration date
12/15/2006
Last updated
12/02/2020
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