GAGANDEEP SAWANA MD
NPI 1669215653
Student in an Organized Health Care Education/Training Program in Port Huron, MI

Active since June 17, 2024PECOS Enrolled
1216 RICHARDSON ST, PORT HURON, MI 48060(810) 985-2640(810) 962-8294 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gagandeep Sawana Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAGANDEEP SAWANA MD (NPI 1669215653) is an individual student in an organized health care education/training program in Port Huron, Michigan, licensed in Michigan (5315249459) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669215653
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGAGANDEEP SAWANACredential: MD
Location Address1216 RICHARDSON STPort Huron, MI 48060-3549
Mailing Address1216 Richardson StPort Huron, MI 48060-3549 · (810) 985-2640 · Fax (810) 962-8294
Fax(810) 962-8294
Sole ProprietorNo
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
NPI 1669215653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 5315249459
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1216 RICHARDSON ST, Port Huron, MI 48060

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gagandeep Sawana Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1216 RICHARDSON ST
PORT HURON, MI 48060
Internal Medicine
1216 RICHARDSON ST
PORT HURON, MI 48060
Student in an Organized Health Care Education/Training Program
1216 RICHARDSON ST
PORT HURON, MI 48060
Student in an Organized Health Care Education/Training Program
1216 RICHARDSON ST
PORT HURON, MI 48060
Student in an Organized Health Care Education/Training Program
1216 RICHARDSON ST
PORT HURON, MI 48060
Student in an Organized Health Care Education/Training Program
1216 RICHARDSON ST
PORT HURON, MI 48060
Internal Medicine
1216 RICHARDSON ST
PORT HURON, MI 48060
Student in an Organized Health Care Education/Training Program
1216 RICHARDSON ST
PORT HURON, MI 48060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669215653, enumerated as an "individual" on June 17, 2024.

The provider is located at 1216 RICHARDSON ST PORT HURON, MI 48060 and the phone number is (810) 985-2640.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.