Organization Active NPI

Gurmit S Sandhu LLC

  • Interventional Cardiology Physician
  • Mesa, AZ
National Provider Identifier
1386739613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
9611 Issued in AZ
Legal business name
GURMIT S SANDHU LLC
Practice address
1400 S Dobson Rd
Banner Desert Med Center
Mesa, AZ 85202-4707
Phone
(480) 512-3000
NPI assigned
Oct 3, 2006
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
Dr. Gurmit S Sandhu, M.D
Title
Manager
Phone
(480) 831-6484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 9611 AZ Primary

Addresses

Primary practice location

1400 S Dobson Rd
Banner Desert Med Center
Mesa, AZ 85202-4707

Mailing address

9222 S Shannon Dr
Tempe, AZ 85284-3527
Phone (480) 831-6484

National Provider Directory

National Provider Directory

Locations

595 N Dobson Rd
#C48E
Chandler, AZ 85224

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386739613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 S SHANNON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843527",
            "telephone_number": "480-831-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD",
            "address_2": "BANNER DESERT MED CENTER",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "480-512-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURMIT S SANDHU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "GURMIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-831-6484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "9611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

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.