Healthcare Provider Details

I. General information

NPI: 1811359367
Provider Name (Legal Business Name): AMANDA MURPHY SINDHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA JEAN MURPHY

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N PEPPER AVE
COLTON CA
92324-1801
US

IV. Provider business mailing address

2400 PINE RIDGE BLVD
WAUSAU WI
54401
US

V. Phone/Fax

Practice location:
  • Phone: 909-580-3353
  • Fax: 909-580-1363
Mailing address:
  • Phone: 715-847-2022
  • Fax: 715-843-1220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number77416
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberA195222
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: