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NPI Code Detail

MEDICARE: SANDEEP SODHI MD

MEDICARE: SANDEEP SODHI MD
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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianA88673CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZ31887ZOTHERCASITE LOCATION

General Provider Information

NPI Number : 1710108881
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDEEP SODHI MD
Provider Business Mailing Address
First Line : 21163 NEWPORT COAST DR # 176
Second Line :
City : NEWPORT COAST
State : CA
Zip : 92657-1123
Country : US
Telephone Number : 949-630-0008
Fax Number :
Provider Business Practice Location Address
First Line : 369 SAN MIGUEL DR STE 200
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-7850
Country : US
Telephone Number : 949-630-0008
Fax Number : 281-393-4025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/11/2025

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Directions to “ SANDEEP SODHI MD” Practice Location

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