Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | A145527 | CA |
NPI | 1073861654 |
---|---|
Provider Name | Sartaj Singh Sandhu |
First Address | Chico, CA 95926-2213 |
Second Address | Chico, CA 95926-2213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2012 |
Last Update Date | 02/06/2017 |