MEDICARE: MR. NARINDERPAL S SANDHU PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	18655	CA

General Provider Information

NPI Number	:	1699823872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NARINDERPAL S SANDHU PAC

Provider Business Mailing Address
First Line	:	955 E OMAHA AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-2167
Country	:	US
Telephone Number	:	559-431-9230
Fax Number	:

Provider Business Practice Location Address
First Line	:	5043 E KINGS CANYON RD
Second Line	:	#101
City	:	FRESNO
State	:	CA
Zip	:	93727-3935
Country	:	US
Telephone Number	:	559-455-1500
Fax Number	:	559-253-1302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2007
Last Update Date	:	04/06/2026

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