Individual
MANDEEP SINGH SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.-M.B.A.
Contact information
Practice address
47 NEW SCOTLAND AVE # MC44, PHYSICIAN'S PAVILLION, 2ND FLOOR, DIV OF CARDIOLOGY, ALBANY, NY 12208-3412
(518) 262-5076
(518) 262-5082
Mailing address
47 NEW SCOTLAND AVE # MC44, PHYSICIAN'S PAVILLION, 2ND FLOOR, DIV OF CARDIOLOGY, ALBANY, NY 12208-3412
(518) 262-5076
(518) 262-5082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RT-1609
NH
207RC0000X
Cardiovascular Disease Physician
13994
NH
207RC0000X
Cardiovascular Disease Physician
Primary
266725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017803
—
VT
05
—
30209668
—
NH
Enumeration date
09/13/2006
Last updated
01/29/2013
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