Healthcare Provider Details

I. General information

NPI: 1376891978
Provider Name (Legal Business Name): SANDEEP DAYANAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 MYRTLE ST STE 190
ERIE PA
16502-4604
US

IV. Provider business mailing address

2314 SASSAFRAS STREET 2ND FLOOR
ERIE PA
16502-2721
US

V. Phone/Fax

Practice location:
  • Phone: 814-453-7767
  • Fax:
Mailing address:
  • Phone: 412-325-5808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD458407
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD458407
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: