Individual
GURSUKHMAN DEEP SINGH SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1236 E RUSHOLME ST STE 300, DAVENPORT, IA 52803-2484
(563) 324-2992
(563) 324-8562
Mailing address
1236 E RUSHOLME ST STE 300, DAVENPORT, IA 52803-2484
(563) 324-2992
(563) 324-8562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.162628
IL
207R00000X
Internal Medicine Physician
309552
LA
207RC0000X
Cardiovascular Disease Physician
Primary
036.162628
IL
207RC0000X
Cardiovascular Disease Physician
309552
LA
Other
Enumeration date
06/02/2013
Last updated
01/29/2025
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