SANDEEP KAUR PA NPI 1093590168

NPI Information

  • NPI: 1093590168
  • Provider Name: SANDEEP KAUR, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9404A MAIN ST
    FAIRFAX, VA
    ZIP 22031
  • Phone: (571) 404-6974

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NPI Details

Sandeep Kaur, PA is a medical physician assistant in Fairfax, VA with 3 years of experience. Sandeep Kaur, PA NPI is 1093590168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduation Year:2023

The provider's business location address is:

9404A MAIN ST
FAIRFAX, VA
ZIP 22031-032
Phone: (571) 404-6974

The NPI 1093590168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2023 and was last updated on 11/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical0110009500VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130017688630001MEDICAIDVIRGINIA
20110009500MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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