Individual
AMRIK SINGH SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1503 E MARCH LN, STOCKTON, CA 95210-5622
(209) 462-7277
(866) 950-0134
Mailing address
PO BOX 1434, LODI, CA 95241-1434
(209) 462-7277
(866) 950-0134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A36952
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A369520
—
CA
Enumeration date
09/13/2006
Last updated
01/12/2022
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