Healthcare Provider Details

I. General information

NPI: 1629908975
Provider Name (Legal Business Name): GURSATINDER KAUR SANDHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST. AGNES MEDICAL CENTER 1303 E. HERNDON AVE.
FRESNO CA
93720
US

IV. Provider business mailing address

ST. AGNES MEDICAL CENTER 1303 E. HERNDON AVE.
FRESNO CA
93720
US

V. Phone/Fax

Practice location:
  • Phone: 559-450-3000
  • Fax:
Mailing address:
  • Phone: 559-450-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: