Individual
DR. BALBIR SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8100 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5622
(703) 331-0300
(703) 331-0254
Mailing address
8100 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5622
(703) 331-0300
(703) 331-0254
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101047068
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5810507
—
VA
01
—
C06380
MEDICARE OF VA PTAN
VA
01
—
G00773
MEDICARE OF DC PTAN
DC
Enumeration date
07/14/2005
Last updated
06/20/2013
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