DR. DIVYAJOT SINGH SANDHU (NPI# 1790915973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790915973 |
| Entity Type | Individual |
| Full Name | DR. DIVYAJOT SINGH SANDHU |
| Credential | M.D. |
| Practice Address |
1210 W 18th St Ste 100 Sioux Falls SD 57104-4650 |
| Mailing Address |
3801 Cooper Dr E Apt 112 Columbia MO 65201-7105 |
| Practice Telephone | 6053128500 |
| Practice Fax Number | 6053128501 |
| Mailing Telephone | (317) 640-4674 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
10053 | SD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Hospital Dr, Columbia, MO 652015276 | 5738824141 |
| Street Address |
1210 W 18TH ST STE 100 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-4650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033130216 | Eric Robert Trumble | Neurological Surgery | 1210 W 18th St Ste 100, Sioux Falls, SD 57104-4650 | 2006-07-22 |
| 1659971927 | Nathan Alan Peterson | Nurse Practitioner | 1210 W 18th St Ste 100, Sioux Falls, SD 57104-4650 | 2020-10-27 |
| 1811479736 | Nicole Catherine Thies | Physician Assistant | 1210 W 18th St Ste 100, Sioux Falls, SD 57104-4650 | 2018-09-06 |
| 1861809717 | Nnamdi Uhegwu | Psychiatry & Neurology | 1210 W 18th St Ste 100, Sioux Falls, SD 57104-4650 | 2014-07-11 |
| 1821418666 | Abdul Rahman Alchaki | Psychiatry & Neurology | 1210 W 18th St Ste 100, Sioux Falls, SD 57104 | 2014-04-20 |
| 1316369523 | Nessim Amin | Neurological Surgery | 1210 W 18th St Ste 100, Sioux Falls, SD 57104-4650 | 2014-01-08 |
| 1235574823 | Namrata Abhisher Raut | Physical Medicine & Rehabilitation | 1210 W 18th St Ste 100, Sioux Falls, SD 57104 | 2013-05-08 |
| 1861758856 | Shawn Michael Vuong | Neurological Surgery | 1210 W 18th St Ste 100, Sioux Falls, SD 57104-9890 | 2012-04-04 |
| 1821303959 | Efrat Feldman | Psychiatry & Neurology | 1210 W 18th St Ste 100, Sioux Falls, SD 57104-4650 | 2010-08-12 |
| 1386761690 | Cory Lynn Olson | Physician Assistant | 1210 W 18th St Ste 100, Van Demark Building, Sioux Falls, SD 57104-9890 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| City | SIOUX FALLS |
| Zip Code | 57104 |
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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.