Provider Demographics
NPI:1902991284
Name:SINDHWANI, SUNANDA (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNANDA
Middle Name:
Last Name:SINDHWANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850A TOWN CENTER PKWY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5851
Mailing Address - Country:US
Mailing Address - Phone:703-437-5532
Mailing Address - Fax:703-437-7022
Practice Address - Street 1:1850A TOWN CENTER PKWY
Practice Address - Street 2:SUITE 209
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5851
Practice Address - Country:US
Practice Address - Phone:703-437-5532
Practice Address - Fax:703-437-7022
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237348207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCH42305Medicare UPIN
DC017349I61Medicare ID - Type UnspecifiedN.VA/DC METRO