Individual
FAHEEM A . SANDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10401 HOSPITAL DR, STE 101, CLINTON, MD 20735-3150
(301) 856-2323
(301) 856-0477
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD31717
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00856605
RAILROAD MEDICARE
DC
Enumeration date
06/14/2005
Last updated
03/14/2012
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