Healthcare Provider Details
I. General information
NPI: 1083680854
Provider Name (Legal Business Name): SATINDERPAL S SONDHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/23/2006
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1831 N BELCHER RD SUITE F-1
CLEARWATER FL
33765-1449
US
IV. Provider business mailing address
1831 N BELCHER RD SUITE F-1
CLEARWATER FL
33765-1453
US
V. Phone/Fax
- Phone: 727-796-4544
- Fax: 727-726-4618
- Phone: 727-796-4544
- Fax: 727-726-4618
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0008X |
| Taxonomy | Hepatology Physician |
| License Number | ME0072949 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | ME0072949 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: