Sunny Sundeep Sandhu, MD is a
Specialist physician based in Orange Park, Florida. Sunny Sundeep Sandhu is licensed to practice in Florida (license number ME113652) and his current practice location is 1560 Kingsley Ave, Orange Park, Florida. He can be reached at his office (for appointments etc.) via phone at
(904) 458-7246.
NPI number for Sunny Sundeep Sandhu is 1649463662 and his current mailing address is 1560 Kingsley Ave, Orange Park, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649463662.
Physician's Profile
| Full Name | Sunny Sundeep Sandhu |
|---|
| Gender | Male |
|---|
| Speciality | Specialist |
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| Location | 1560 Kingsley Ave, Orange Park, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649463662
- Provider Enumeration Date: 08/22/2007
- Last Update Date: 11/04/2015
Medical Identifiers
Medical identifiers for Sunny Sundeep Sandhu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649463662 | NPI | - | NPPES |
| 003132784A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 4301090049 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 68184 (Georgia) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 68184 (Georgia) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 68184 (Georgia) | Secondary |
| 174400000X | Specialist | ME113652 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sunny Sundeep Sandhu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sunny Sundeep Sandhu, MD
1560 Kingsley Ave,
Orange Park, FL 32073-4593
Ph: (904) 264-0400 | Sunny Sundeep Sandhu, MD
1560 Kingsley Ave,
Orange Park, FL 32073-4593
Ph: (904) 458-7246 |
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