# GSP PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shaw Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760256721
- **Authorized official:** MANAVJEET SIDHU MD (DIRECTOR)
- **Authorized official phone:** (559) 840-3991

## Contact information

- **Practice address:** 110 E SHAW AVE, FRESNO, CA 93710-7608
- **Practice address phone:** (559) 840-3991
- **Mailing address:** 1830 W ASHLAN AVE, FRESNO, CA 93705-1802
- **Mailing address phone:** (559) 840-3991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2023
- **Last updated:** 11/09/2023