Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 04-35237 | KS |
NPI | 1003957788 |
---|---|
Provider Name | Peeran D. Sandhu |
First Address | Salina, KS 67401-4145 |
Second Address | Salina, KS 67401-4145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 25/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200739100B | (05) | KS |