Sandeep K Johar, DO
Healthcare Provider in Waterbury, Connecticut
1174615017- Practice location
- 500 Chase Pkwy, Waterbury, CT 06708-3346
- Phone
- 203-755-6677
- Fax
- —
- Last updated
- October 29, 2025
Sandeep Kumar Johar is a Healthcare Provider based in Waterbury, CT. Sandeep Kumar Johar practices in Waterbury, CT and has the professional credentials of DO. The NPI Number for Sandeep Kumar Johar is 1174615017 and holds a License No. 049078 (CT). The current practice location address for Sandeep Kumar Johar is 500 Chase Pkwy, Waterbury, CT 06708-3346 and can be reached out via phone at 203-755-6677.
Provider Profile Details
- NPI Number
- 1174615017
- Provider Name
- Sandeep Kumar Johar
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 500 Chase Pkwy, Waterbury, CT 06708-3346
- Phone Number
- 203-755-6677
- Primary Taxonomy
- Healthcare Provider · 208VP0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 29, 2006
- Last Update Date
- October 29, 2025
- Certification Date
- October 29, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Chase Pkwy
Waterbury, CT 06708-3346 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-3346
- Phone Number
- 203-755-6677
Provider Business Mailing Address Details
- Address
- 500 Chase Pkwy
Waterbury, CT 06708-3346 - City
- Waterbury
- State
- CT
- Zip
- 06708-3346
- Phone Number
- 203-755-6677
License Information
- License Number (1)
- 049078
- License State (1)
- CT
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 049078
- License State (2)
- CT
- Taxonomy (2)
- Emergency Medicine, Sports Medicine · 207PS0010X
- License Number (3)
- 049078
- License State (3)
- CT
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sandeep K Johar, DO?
The NPI number of Sandeep K Johar, DO is 1174615017. It was assigned on September 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Sandeep K Johar, DO?
Sandeep K Johar, DO is registered under the primary taxonomy Healthcare Provider (code 208VP0000X), licensed in CT under license number 049078.
Where does Sandeep K Johar, DO practice?
The practice location is 500 Chase Pkwy, Waterbury, CT 06708-3346. The office can be reached at 203-755-6677 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174615017 directly on the NPPES registry website.