Healthcare Provider Details

I. General information

NPI: 1538017991
Provider Name (Legal Business Name): SIMRAN SANDHU NMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9745 E HAMPTON AVE UNIT 1169
MESA AZ
85209-1715
US

IV. Provider business mailing address

9745 E HAMPTON AVE UNIT 1169
MESA AZ
85209-1715
US

V. Phone/Fax

Practice location:
  • Phone: 647-563-6682
  • Fax:
Mailing address:
  • Phone: 647-563-6682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number264030
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: