Individual
DR. JAIPAL S. SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7125 N CHESTNUT AVE STE 103, FRESNO, CA 93720-0358
(559) 765-4868
(559) 797-4674
Mailing address
7125 N CHESTNUT AVE, FRESNO, CA 93720-0358
(559) 765-4868
(559) 797-4674
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A72117
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A72117
CA
Other
Enumeration date
11/01/2006
Last updated
02/06/2019
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