MEDICARE: DR. NAVPARKASH 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	207L00000X	Anesthesiology Physician	213872	NY
2	207L00000X	Anesthesiology Physician	C52254	CA

General Provider Information

NPI Number	:	1689669863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAVPARKASH SANDHU M.D.

Provider Business Mailing Address
First Line	:	200 W ARBOR DR
Second Line	:	UCSD MED CENTER
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-9001
Country	:	US
Telephone Number	:	619-543-5742
Fax Number	:	619-543-5424

Provider Business Practice Location Address
First Line	:	200 W ARBOR DR
Second Line	:	UCSD MED CENTER
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-9001
Country	:	US
Telephone Number	:	619-543-5742
Fax Number	:	619-543-5424

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	10/22/2010

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