Provider Demographics
NPI:1679593818
Name:TANDON, SAPNA (DO)
Entity type:Individual
Prefix:DR
First Name:SAPNA
Middle Name:
Last Name:TANDON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:OB/GYN OF FAIRFIELD COUNTY
Mailing Address - Street 2:1735 POST ROAD
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824
Mailing Address - Country:US
Mailing Address - Phone:203-256-3990
Mailing Address - Fax:203-256-3993
Practice Address - Street 1:OB/GYN OF FAIRFIELD COUNTY
Practice Address - Street 2:1735 POST ROAD
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824
Practice Address - Country:US
Practice Address - Phone:203-256-3990
Practice Address - Fax:203-256-3993
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2017-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT038770207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001387704Medicaid
CT160002176Medicare ID - Type Unspecified
CT001387704Medicaid