Provider Demographics
NPI:1922971886
Name:FARRIS SANDHU, M.D.INC
Entity type:Organization
Organization Name:FARRIS SANDHU, M.D.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FARRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-646-5047
Mailing Address - Street 1:PO BOX 9732
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92067-4732
Mailing Address - Country:US
Mailing Address - Phone:757-646-5047
Mailing Address - Fax:
Practice Address - Street 1:317 N EL CAMINO REAL STE 301
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2814
Practice Address - Country:US
Practice Address - Phone:760-230-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FARRIS SANDHU,M.D.INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty