| Doctor Name: | DR. SANDEEP MENDIRATTA |
| NPI Number: | 1043386311 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME107062 |
| Business Practice Address: | 1400 E Oakland Park Blvd Ste 210 Oakland Park, FL - 333344400 |
| Business Phone Number: | 9545616222 |
| Business Fax Number: | 9549907650 |
| Mailing Address: | 1620 S Ocean Blvd, Unit 9a POMPANO BEACH |
| State: | FL |
| Postal Code: | 330627704 |
| Phone Number: | 9542999836 |
| Fax Number: | 7194666295 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 07/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0804X |
| License Number: | ME107062 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Child & Adolescent Psychiatry |
| Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |