Provider Demographics
NPI:1982497608
Name:SATHI, GURNINDERJEET SINGH
Entity type:Individual
Prefix:
First Name:GURNINDERJEET SINGH
Middle Name:
Last Name:SATHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12053 RATNER ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-1411
Mailing Address - Country:US
Mailing Address - Phone:747-350-6149
Mailing Address - Fax:
Practice Address - Street 1:150 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-4304
Practice Address - Country:US
Practice Address - Phone:386-290-4282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program