Healthcare Provider Details

I. General information

NPI: 1992966931
Provider Name (Legal Business Name): HARMINDER SINGH SANDHU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW STE 422 POB SOUTH TOWER
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

931 DOMINION RESERVE DR
MC LEAN VA
22102-2015
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-0698
  • Fax: 202-877-6959
Mailing address:
  • Phone: 202-877-0698
  • Fax: 202-877-6959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD036163
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD036163
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: