MEDICARE: KARAN RAJ SINGH SANDHU

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	1223G0001X	General Practice Dentistry	37010	TX

General Provider Information

NPI Number	:	1356932354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARAN RAJ SINGH SANDHU

Provider Business Mailing Address
First Line	:	3438 GULF FWY
Second Line	:
City	:	DICKINSON
State	:	TX
Zip	:	77539-4119
Country	:	US
Telephone Number	:	281-720-3500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3438 GULF FWY
Second Line	:
City	:	DICKINSON
State	:	TX
Zip	:	77539-4119
Country	:	US
Telephone Number	:	281-720-3500
Fax Number	:

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

Provider Enumeration Date	:	02/01/2021
Last Update Date	:	02/01/2021

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Directions to “ KARAN RAJ SINGH SANDHU ” Practice Location

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