Provider Demographics
NPI:1588359343
Name:SANDHAR, MANJYOT SINGH (MB BCH BAO)
Entity type:Individual
Prefix:DR
First Name:MANJYOT
Middle Name:SINGH
Last Name:SANDHAR
Suffix:
Gender:M
Credentials:MB BCH BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SALEM HOSPITAL
Mailing Address - Street 2:81 HIGHLAND AVE
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:978-354-4009
Mailing Address - Fax:
Practice Address - Street 1:SALEM HOSPITAL
Practice Address - Street 2:81 HIGHLAND AVE
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970
Practice Address - Country:US
Practice Address - Phone:978-354-4009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program