Organization
SIDHU PEDIATRICS, LLC
Active
Other names
Desoto Childrens Clinic, Desoto Children's Clinic - Southaven
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN SIDHU (ADMINISTRATOR)
(662) 349-6577
Entity
Organization
Contact information
Practice address
7276 SOUTHCREST PKWY, SOUTHAVEN, MS 38671
(662) 349-6577
(662) 349-6562
Mailing address
7276 SOUTHCREST PKWY, SOUTHAVEN, MS 38671
(662) 349-6577
(662) 349-6562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015155
—
MS
Enumeration date
04/11/2007
Last updated
04/06/2026
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