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General NPI Number Information
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NPI Number | 1891896601
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Entity Type | Individual
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Provider Name | SIMRAN SANDHU M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 4494 N PALMER RD
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City | BETHESDA
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State | MD
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Zip | 20889-3629
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Country | US
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Telephone | 301-295-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37619
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City | BALTIMORE
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State | MD
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Zip | 21297-3619
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Country | US
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Telephone | 443-917-2855
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Fax | 410-346-5775
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 237253
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License Number State | NY
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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 | D68137
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License Number State | MD
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