Individual
DR. JYOTU P SANDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 243-8500
(702) 363-8753
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 243-8500
(702) 363-8753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15682
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922444652
—
NV
01
—
P01696190
RR
NV
Enumeration date
05/21/2013
Last updated
01/31/2017
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