Organization
SIDHU PEDIATRICS, LLC
Active
Other names
Desoto Children's Clinic - Olive Branch
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN SIDHU (ADMINISTRATOR)
(662) 349-6577
Entity
Organization
Contact information
Practice address
7145 GOODMAN ROAD, OLIVE BRANCH, MS 38654
(662) 333-5001
(662) 420-7063
Mailing address
7145 GOODMAN RD, OLIVE BRANCH, MS 38654-1904
(662) 333-5001
(662) 420-7063
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016777
—
MS
05
—
07529722
—
MS
Enumeration date
07/10/2015
Last updated
04/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us