Johar, Sandeep Kumar
Johar, Sandeep Kumar is an individual health care provider with primary practice located at 500 Chase Pkwy , Waterbury CT 06708-3346. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Johar, Sandeep Kumar can be contacted via phone (203) 755-6677.Contact Information
Primary practice address
500 Chase Pkwy
Waterbury CT 06708-3346
Phone: (203) 755-6677
Fax: (203) 755-7166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 049078 | Connecticut |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 049078 | Connecticut |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 049078 | Connecticut |
Profile Details
| NPI number | 1174615017 |
|---|---|
| LBN Legal business name | Johar, Sandeep Kumar |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Oct 13th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174615017 | NPPES |
| Florida | MEDICAID | 001421800 | |
| Florida | MEDICAID | 02838200 |
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