Gursewak S. Sandhu, MD, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

44829 Issued in MA

Legal business name

GURSEWAK S. SANDHU, MD, PC

Practice address

511 W Grove St
Suite 301
Middleboro, MA 02346-1458

Phone

(508) 947-4634

Fax

(508) 947-0635

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gursewak S Sandhu, M.D.

Title

Owner

Phone

(508) 947-4634

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1669660023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W GROVE ST",
            "address_2": "SUITE 301",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461458",
            "telephone_number": "508-947-4634",
            "fax_number": "508-947-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W GROVE ST",
            "address_2": "SUITE 301",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461458",
            "telephone_number": "508-947-4634",
            "fax_number": "508-947-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURSEWAK S. SANDHU, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "GURSEWAK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-947-4634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "44829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109568",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "GUM13473",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9722203",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Grady, BCBA
• Sarah Elizabeth Graham, LMHC
• Alyssa Lynn Grimes, CCC-SLP
• Debra Gross, MA
• Laura Jennifer Guenette, LMHC
• Brittany Ann Guyder
• Richard Hacker, DPM
• Sarah Hagerty
• Tracy L Halle, LMHC
• Hannah B. Griffith Shaw Home for the Aged, Inc.

• Orthopaedic Surgery Physician in Middleboro, MA
• Providers in Middleboro, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.