Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 273500 | NY |
N | 111NI0900X | Internist | 273500 | NY |
N | 207R00000X | Internist | 4301094505 | MI |
N | 111NI0900X | Internist | 4301094505 | MI |
Y | 207R00000X | Internist | C152295 | CA |
Y | 111NI0900X | Internist | C152295 | CA |
N | 207RG0300X | Geriatric Medicine | 273500 | NY |
NPI | 1013241967 |
---|---|
Provider Name | Jujhar Sandhu |
First Address | North Tonawanda, NY 14120-2019 |
Second Address | Yuba City, CA 95991-3459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2009 |
Last Update Date | 09/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03805103 | (05) | NY |