MEDICARE: PEERAN D. SANDHU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	04-35237	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003957788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEERAN D. SANDHU M.D.

Provider Business Mailing Address
First Line	:	511 S SANTA FE AVE
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-4145
Country	:	US
Telephone Number	:	785-452-7269
Fax Number	:	785-452-6008

Provider Business Practice Location Address
First Line	:	511 S SANTA FE AVE
Second Line	:	SUITE 200
City	:	SALINA
State	:	KS
Zip	:	67401-4145
Country	:	US
Telephone Number	:	785-452-4860
Fax Number	:	785-452-4878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	05/25/2015

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