Gaganjot Sandhu, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

4301110066 Issued in MI

Practice address

16001 W. Nine Miler Road
Providence-Providence Park Hospitals - Southfield
Southfield, MI 48074

Phone

(248) 849-5664

NPI assigned

Jul 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1366894818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 W NINE MILE RD",
            "address_2": "GENERAL SURGERY DEPARTMENT",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-849-8902",
            "fax_number": "248-849-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W. NINE MILER ROAD",
            "address_2": "PROVIDENCE-PROVIDENCE PARK HOSPITALS - SOUTHFIELD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48074",
            "telephone_number": "248-849-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "GAGANJOT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301110066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Sanders, DDS
• Marilyn Denise Sanders, LMSW, MACRO
• Monique Sanders, TLLP
• Rashawnda Marie Sanders, LMT
• Seterra Mahdi Nycole Sanders
• Ravinder Sandhu
• Sandra Brown M.D.,P.C.
• Sandra L Ellis MD PLLC
• Sandra L. Ellis, MD, PLLC
• Sandra S Lerner DO PLLC

• Student in an Organized Health Care Education/Training Program in Southfield, MI
• Providers in Southfield, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.