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NPI Code Detail

MEDICARE: SANDEEP SODHI MD INC

MEDICARE: SANDEEP SODHI MD INC
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 Physician

General Provider Information

NPI Number : 1891259529
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDEEP SODHI MD INC
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 :
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 : ENDOCRINOLOGIST
Name : SANDEEP SODHI
Credential : MD
Telephone Number : 714-253-2777
Provider Enumeration Date : 01/28/2019
Last Update Date : 04/26/2024

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Directions to “SANDEEP SODHI MD INC ” Practice Location

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