MEDICARE: BHAN 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	343900000X	Non-emergency Medical Transport (VAN)	1093298	CA

General Provider Information

NPI Number	:	1851856157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAN SINGH SANDHU

Provider Business Mailing Address
First Line	:	2234 KENRY WAY
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-5508
Country	:	US
Telephone Number	:	650-534-6937
Fax Number	:	650-873-2047

Provider Business Practice Location Address
First Line	:	2234 KENRY WAY
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-5508
Country	:	US
Telephone Number	:	650-534-6937
Fax Number	:	650-873-2047

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

Provider Enumeration Date	:	01/31/2019
Last Update Date	:	01/31/2019

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Directions to “ BHAN SINGH SANDHU ” Practice Location

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