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Individual

BALJIT S SIDHU

Active
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Individual

BALJIT S SIDHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
0101031126
VA
207X00000X
Orthopaedic Surgery Physician
Primary
0101031126
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006408729
VA
01
1073580221
MEDICARE RAILROAD
VA
Enumeration date
03/07/2006
Last updated
12/05/2013
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