Individual
MR. GURCHARAN SINGH SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6700 N FIRST, SUITE 111, FRESNO, CA 93710
(559) 436-0450
(559) 436-0454
Mailing address
6700 N FIRST, SUITE 111, FRESNO, CA 93710
(559) 463-0450
(559) 436-0454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00A38687
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A38687
CA
207RP1001X
Pulmonary Disease Physician
00A38687
CA
208M00000X
Hospitalist Physician
Primary
A38687
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A386871
—
CA
01
—
110004599
MC RAILROAD
CA
Enumeration date
12/15/2006
Last updated
11/28/2017
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