Individual
MANREET SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7510 N ORACLE RD STE 100, TUCSON, AZ 85704-4447
(520) 324-4910
(520) 324-4911
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-2308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008472
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084417
—
AZ
Enumeration date
05/25/2016
Last updated
09/21/2021
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