MEDICARE: DR. KOMAL SANDHU PT

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	225100000X	Physical Therapist	30284	MD

General Provider Information

NPI Number	:	1699631549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KOMAL SANDHU PT

Provider Business Mailing Address
First Line	:	12150 ANNAPOLIS RD STE 201
Second Line	:
City	:	GLENN DALE
State	:	MD
Zip	:	20769-9183
Country	:	US
Telephone Number	:	301-352-8371
Fax Number	:	301-352-8372

Provider Business Practice Location Address
First Line	:	12150 ANNAPOLIS RD STE 201
Second Line	:
City	:	GLENN DALE
State	:	MD
Zip	:	20769-9183
Country	:	US
Telephone Number	:	301-352-8370
Fax Number	:

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

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ DR. KOMAL SANDHU PT” Practice Location

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