DR. GAGANJOT SANDHU (NPI# 1366894818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366894818 |
| Entity Type | Individual |
| Full Name | DR. GAGANJOT SANDHU |
| Credential | MD |
| Practice Address |
16001 W. Nine Miler Road Providence-providence Park Hospitals - Southfield Southfield MI 48074 |
| Mailing Address |
16001 W Nine Mile Rd General Surgery Department Southfield MI 48075 |
| Practice Telephone | 2488495664 |
| Mailing Telephone | 2488498902 |
| Mailing Fax Number | 2488495380 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 4301110066 | MI | Student, Health Care |
| Street Address |
16001 W. NINE MILER ROAD PROVIDENCE-PROVIDENCE PARK HOSPITALS - SOUTHFIELD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538036 | Marisa Robbi Dunlap | Behavior Technician | 631 Richman, 631 Richman, Smiths Creek, MI 48074 | 2019-09-30 |
| 1568930501 | Audrey Christine Hollen | Behavior Technician | 4652 Cloverdale Ln, Kimball, MI 48074 | 2018-11-07 |
| 1912357526 | Ashlee Marie O'shell | Student in an Organized Health Care Education/Training Program | Providence-providence Park Hospitals - Southfield, 16001 W. Nine Mile Road, Southfield, MI 48074 | 2016-06-14 |
| 1730567371 | Scott J. Ferguson Dds & Associates Pllc | Dentist | 2837 Stable Drive, Ste A, Kimball, MI 48074 | 2015-05-15 |
| 1629387337 | Tamara Dawn Lynch | Veterinarian | 367 Wadhams Rd, Smiths Creek, MI 48074 | 2010-09-29 |
| 1932348737 | Lisa Marie Rottman Adamson | Physical Therapy Assistant | 1048 Broad Ax Lane, Kimball, MI 48074 | 2009-02-18 |
| 1891858742 | Susan Millie Fagan | Dentist | 5281 Lapeer Road, Kimball, MI 48074 | 2006-12-19 |
| 1982701868 | Home Town Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5277 Lapeer Rd, Kimball, MI 48074 | 2006-09-20 |
| 1043314347 | Sacred Heart | Substance Abuse Rehabilitation Facility | 1910 Ditty Rd, Kimball, MI 48074 | 2006-09-08 |
| 1003861055 | Gail Ann Cookingham | Allergy & Immunology | 2820 Stable Drive, Kimball, MI 48074 | 2006-05-24 |
| Find all providers in zip 48074 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254401 | Lenora Jackson | Student in an Organized Health Care Education/Training Program | 16000 W 9 Mile Rd Ste 505, Southfield, MI 48075-4802 | 2020-01-26 |
| 1982266078 | Sugeetha Nithiananthan | Student in an Organized Health Care Education/Training Program | 22250 Providence, Suite 703a, Southfield, MI 48075-4818 | 2019-06-28 |
| 1215595228 | Harkirat Singh | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr Ste 703a, Southfield, MI 48075-6215 | 2019-06-04 |
| 1962067223 | Gavin Martin Taylor | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive Suite #557, Southfield, MI 48075-4818 | 2019-05-02 |
| 1609430297 | Kirti Dhingra | Student in an Organized Health Care Education/Training Program | 1600 W. 9 Mile Road, Suit # 416, Southfield, MI 48075-4818 | 2019-04-29 |
| 1649834854 | Jason Daniel Nosrati | Student in an Organized Health Care Education/Training Program | 16001 W 9 Mile Rd Ste 416, Southfield, MI 48075-4818 | 2019-04-24 |
| 1134783251 | Ayat Ghosn | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive Suite #301, Southfield, MI 48075-4818 | 2019-04-24 |
| 1154985356 | Muhammad Daniyal Burhan | Student in an Organized Health Care Education/Training Program | 16001 W. 9 Mile Road 2nd Floor Depaul, Southfield, MI 48075-4818 | 2019-04-24 |
| 1215490461 | Lynna Alnimer | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Academic Internal Medicine, Suite #301, Southfield, MI 48075-4818 | 2019-04-12 |
| 1811479462 | Damien Quarles | Student in an Organized Health Care Education/Training Program | 25381 Lois Ln, Southfield, MI 48075-1040 | 2018-08-30 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48074 |
Please comment or provide details below to improve the information on DR. GAGANJOT SANDHU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.