Individual
SANDEEP SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2717
(602) 839-2708
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2717
(602) 839-2708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A114894
CA
207R00000X
Internal Medicine Physician
MD438114
PA
208M00000X
Hospitalist Physician
Primary
46863
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46863
MEDICARE
AZ
Enumeration date
07/22/2009
Last updated
09/22/2015
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