Organization Active NPI

Preetender Sandhu MD

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1114132131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0057543 Issued in MD
Legal business name
PREETENDER SANDHU MD
Practice address
1940 W Baltimore St
Baltimore, MD 21223-2245
Phone
(410) 362-4481
Fax
(410) 298-8225
NPI assigned
May 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Louise Macy
Title
Billing MGR
Phone
(410) 298-8223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0057543 MD Primary

Addresses

Primary practice location

1940 W Baltimore St
Baltimore, MD 21223-2245

Mailing address

4957 Ellis LN
Ellicott City, MD 21043-6852
Phone (410) 747-0360

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114132131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 ELLIS LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436852",
            "telephone_number": "410-747-0360",
            "fax_number": "410-298-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232245",
            "telephone_number": "410-362-4481",
            "fax_number": "410-298-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREETENDER SANDHU MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACY",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "410-298-8223"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0057543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.