MEDICARE: DR. DAMANPAUL SINGH SONDHI 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	207RP1001X	Pulmonary Disease Physician	218619	NY
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	218619	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	RB6022	OTHER	NY	MEDICARE TELEMEDICINE

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	:	1437199015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAMANPAUL SINGH SONDHI M.D.

Provider Business Mailing Address
First Line	:	1425 PORTLAND AVENUE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14621-3095
Country	:	US
Telephone Number	:	585-922-4409
Fax Number	:	585-922-4833

Provider Business Practice Location Address
First Line	:	1425 PORTLAND AVENUE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14621-3095
Country	:	US
Telephone Number	:	585-922-4409
Fax Number	:	585-922-4833

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	08/01/2013

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