Basic Information
Provider Information
NPI: 1982629671
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANDHU
FirstName: AMRIT PAL
MiddleName: SINGH
NamePrefix: MR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SINGH
OtherFirstName: AMRIT
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 34876
Address2:  
City: SEATTLE
State: WA
PostalCode: 981241876
CountryCode: US
TelephoneNumber: 4256565412
FaxNumber: 4256564096
Practice Location
Address1: 16850 SE 272ND ST
Address2: STE 100
City: COVINGTON
State: WA
PostalCode: 980424931
CountryCode: US
TelephoneNumber: 2533951971
FaxNumber: 2533951983
Other Information
ProviderEnumerationDate: 07/13/2006
LastUpdateDate: 11/03/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500XMD60329929WAY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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