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NPI Code Detail

MEDICARE: MANDEEP KAUR SANDHU FNP-C

MEDICARE: MANDEEP KAUR SANDHU FNP-C
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
1363LF0000XFamily Nurse Practitioner842228NV

General Provider Information

NPI Number : 1952261422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANDEEP KAUR SANDHU FNP-C
Provider Business Mailing Address
First Line : PO BOX 511360
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-7915
Country : US
Telephone Number : 510-929-1400
Fax Number : 510-929-1414
Provider Business Practice Location Address
First Line : 10401 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1151
Country : US
Telephone Number : 702-978-8727
Fax Number : 702-620-6343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2025
Last Update Date : 04/13/2026

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