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General NPI Number Information
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NPI Number | 1164042495
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Entity Type | Individual
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Provider Name | SIMRAN SANDHU MD
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Gender | Female
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 5255 LOUGHBORO RD NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2633
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Country | US
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Telephone | 202-537-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 16 OLD WOODS AVE SE APT 403
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City | ROANOKE
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State | VA
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Zip | 24016-1432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD500003330
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License Number State | DC
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