Active NPI
Kernjeet K Sandhu, MD
- Family Medicine Physician
- Bangor, ME
National Provider Identifier
1952530719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- EC091063
- Practice address
- 1012 Union St
Bangor, ME 04401-3060 - Phone
- (207) 945-5247
- Fax
- (207) 990-1248
- NPI assigned
- Jul 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | EC091063 | ME | Primary |
Addresses
Primary practice location
1012 Union St
Bangor, ME 04401-3060
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 992-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1952530719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1599",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021599",
"telephone_number": "207-992-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 UNION ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013060",
"telephone_number": "207-945-5247",
"fax_number": "207-990-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "KERNJEET",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "EC091063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.