Individual
AMANJOT KAUR SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
Mailing address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C144376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089518/A
—
MA
Enumeration date
02/11/2010
Last updated
04/25/2024
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