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General NPI Number Information
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NPI Number | 1306105531
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Entity Type | Individual
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Provider Name | BARJINDER SINGH SANDHU M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 7703 FLYOD CURL DRIVE MAIL STOP 7800 SCIENCE CENTER DEPARTMENT OF RADIOLOGY UNIVERSITY OF TEXAS HEALTH
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3900
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Country | US
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Telephone | 832-528-3456
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Fax |
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Provider Business Mailing Address
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Address Line | 250 CHERRY LN STE 116
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City | MANTECA
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State | CA
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Zip | 95337-4398
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Country | US
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Telephone | 832-962-6526
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10043740
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | BP10043740
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | A139637
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License Number State | CA
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