Healthcare Provider Details

I. General information

NPI: 1639236771
Provider Name (Legal Business Name): JAMES SANDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2007
Last Update Date: 08/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3292 PEORIA ST
AURORA CO
80010-1517
US

IV. Provider business mailing address

3701 S BROADWAY
ENGLEWOOD CO
80113-3611
US

V. Phone/Fax

Practice location:
  • Phone: 303-343-6130
  • Fax: 303-344-0664
Mailing address:
  • Phone: 303-761-1977
  • Fax: 303-761-2787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0045709
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: