Organization
SIDHU PEDIATRICS, LLC
Active
Other names
Senatobia Children's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN SIDHU (ADMINISTRATOR)
(662) 349-6577
Entity
Organization
Contact information
Practice address
104 COURT ST, SENATOBIA, MS 38668-2606
(662) 562-4418
(662) 562-9024
Mailing address
104 COURT ST, SENATOBIA, MS 38668-2606
(662) 562-4418
(662) 562-9024
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014227
—
MS
Enumeration date
04/26/2007
Last updated
04/06/2026
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