Sandhu, Sunny Sundeep

Sandhu, Sunny Sundeep is an individual health care provider with primary practice located at 1560 Kingsley Ave , Orange Park FL 32073-4593. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Sandhu, Sunny Sundeep can be contacted via phone (904) 458-7246.

Contact Information

Primary practice address
1560 Kingsley Ave Orange Park FL 32073-4593
Phone: (904) 458-7246
Fax: (904) 517-5072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301090049 Michigan
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 68184 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 68184 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 68184 Georgia
Other Service Providers / Specialist 174400000X ME113652 Florida

Profile Details

NPI number 1649463662
LBN Legal business name Sandhu, Sunny Sundeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Nov 4th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649463662 NPPES
Georgia MEDICAID 003132784A

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