Individual
MANAVJOT SINGH SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(509) 837-1500
(509) 837-4908
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1617
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD61485977
WA
207RC0000X
Cardiovascular Disease Physician
S2510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2266637
—
WA
Enumeration date
04/16/2008
Last updated
07/07/2025
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