Provider Demographics
NPI:1568876977
Name:SANDHU, RASHPAL SINGH (MD)
Entity type:Individual
Prefix:
First Name:RASHPAL
Middle Name:SINGH
Last Name:SANDHU
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20215 AINSLEY ST
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-4061
Mailing Address - Country:US
Mailing Address - Phone:941-949-6659
Mailing Address - Fax:
Practice Address - Street 1:20215 AINSLEY ST
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-4061
Practice Address - Country:US
Practice Address - Phone:941-949-6659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3032252085R0202X
SC942672085R0202X
FLME1686232085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05957882Medicaid