Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 047370 | CT |
NPI | 1114007770 |
---|---|
Provider Name | Katherine S Sandhu |
First Address | Stamford, CT 06902-1627 |
Second Address | Stamford, CT 06902-1627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 10/01/2017 |