Healthcare Provider Details

I. General information

NPI: 1013449347
Provider Name (Legal Business Name): SUGANDHA SINGH LANDY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 TOWNSHIP LINE RD
YARDLEY PA
19067-5552
US

IV. Provider business mailing address

777 TOWNSHIP LINE RD
YARDLEY PA
19067-5552
US

V. Phone/Fax

Practice location:
  • Phone: 215-860-0775
  • Fax: 215-860-7754
Mailing address:
  • Phone: 215-860-0775
  • Fax: 215-860-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD470472
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: