Organization
BALJEET S. SIDHU M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALJEET S. SIDHU M.D. (PHYSICIAN)
(559) 431-7810
Entity
Organization
Contact information
Practice address
1313 E HERNDON AVE STE 103, FRESNO, CA 93720-3306
(559) 435-7810
(559) 431-7765
Mailing address
1313 E HERNDON AVE STE 103, FRESNO, CA 93720-3306
(559) 435-7810
(559) 431-7765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A689930
—
CA
Enumeration date
05/24/2007
Last updated
09/27/2007
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