Sandesh Mohan

Primary specialty

Biomedical Engineering TechnicianTaxonomy code 2472B0301X

Practice address

21647 Stillbrook Farm Dr
Broadlands, VA 20148-3613

Phone

(703) 727-0433

NPI assigned

Apr 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1871113654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 E MARKET ST STE 102",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764475",
            "telephone_number": "703-727-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21647 STILLBROOK FARM DR",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201483613",
            "telephone_number": "703-727-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "SANDESH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472B0301X",
            "taxonomy_group": "",
            "desc": "Technician, Other, Biomedical Engineering",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Secure Email SSL encrypted",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21647 Stillbrook Farm Dr",
            "city": "Broadlands",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201483613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.