DR. MAHESH S SANDHU (NPI# 1679532279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679532279 |
| Entity Type | Individual |
| Full Name | DR. MAHESH S SANDHU |
| Other Name | DR. MAHESH S SANDHU |
| Credential | DO |
| Practice Address |
3402 Battleground Ave Greensboro NC 27410-2404 |
| Practice Telephone | 3365451515 |
| Practice Fax Number | 3365454505 |
| Mailing Telephone | 3365451515 |
| Mailing Fax Number | 3365454505 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2015-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2014-00296 | NC | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | CA 20A6744 | CA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | OS 008390L | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2014-00296 | NC | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
2014-00296 | NC | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
34007331 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC MEDICAL BOARD 2014-00296 | 1679532279 | 01 |
| Street Address |
3402 BATTLEGROUND AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992705982 | Douglas Dane Blevins | Internal Medicine | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2005-07-31 |
| 1467012054 | Tyler Terry | Nurse Practitioner | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2019-06-17 |
| 1316402092 | Melissa Bujanowski | Physician Assistant | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2019-02-06 |
| 1649747163 | Cherrice Applewhite Tice | Nurse Practitioner | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2018-11-01 |
| 1407344724 | Laura Lee Vanderburg | Registered Nurse | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2018-04-23 |
| 1942716758 | Stacey R Ratliff | Physician Assistant | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2017-12-18 |
| 1316303076 | Bethany Medical Center | Internal Medicine | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2016-01-12 |
| 1548641871 | Sanjana Iddyadinesh | Family Medicine | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2015-06-11 |
| 1407190135 | Janelle M Grossman | Nurse Practitioner | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2012-11-19 |
| 1740588532 | Optimus Healthcare Pllc | Clinic/Center | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2011-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679130744 | Mojo Sportclinic, LLC | Physical Medicine & Rehabilitation | 6859 Monument Dr, Wilmington, NC 28405-4178 | 2019-05-23 |
| 1679138176 | Jeneva Gatses | Physical Medicine & Rehabilitation | 13759 Cinnabar Pl, Huntersville, NC 28078-5342 | 2019-05-09 |
| 1285159905 | Austin John Hille | Physical Medicine & Rehabilitation | 400 Landis Ct. #203, Asheville, NC 28806 | 2017-08-03 |
| 1174052138 | Olivia Sabo | Physical Medicine & Rehabilitation | 8814 Red Rd, Rockwell, NC 28138-6500 | 2017-06-05 |
| 1770180903 | Kenneth Lassiter | Physical Medicine & Rehabilitation | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2020-10-01 |
| 1588296719 | Douglas Maccallum | Physical Medicine & Rehabilitation | 2121 E Williams St Ste 108, Apex, NC 27539-7765 | 2020-02-05 |
| 1972153419 | Meredith Elise Bland | Physical Medicine & Rehabilitation | 3475 Erwin Rd, Durham, NC 27705-0005 | 2019-09-17 |
| 1275188484 | Edward Albert Marshall Jr. | Physical Medicine & Rehabilitation | 224 East Wilson Street, Wingate, NC 28174 | 2019-08-05 |
| 1881174878 | Jaela Marie Wilson | Physical Medicine & Rehabilitation | 1801 Fayetteville St, Durham, NC 27707-3129 | 2018-08-19 |
| 1841784170 | Jordan Drew Bettleyon | Physical Medicine & Rehabilitation | 5400 Ramsey St, Fayetteville, NC 28311 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
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| 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.