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Individual

SAVIRA VIRK SIDHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5740 GETWELL RD, BLDG 4C, SOUTHAVEN, MS 38672-6346
(662) 892-5000
(662) 892-5002
Mailing address
PO BOX 2024, OLIVE BRANCH, MS 38654-2209
(662) 892-5000
(662) 892-5002

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD000025744
TN
2084P0800X
Psychiatry Physician
Primary
N04245
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120361
MS
05
3725205
TN
05
F95674
MS
Enumeration date
11/14/2006
Last updated
05/15/2013
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