Individual
KIRANDEEP KAUR SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-7355
(215) 349-8444
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-7355
(215) 349-8444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD476240
PA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD476240
PA
207RC0000X
Cardiovascular Disease Physician
MD476240
PA
390200000X
Student in an Organized Health Care Education/Training Program
276189
MA
Other
Enumeration date
07/09/2018
Last updated
01/11/2022
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