Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A68993 | CA |
Y | 111NI0900X | Internist | A68993 | CA |
N | 207RA0201X | Internist - Allergy & Immunology | A68993 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A68993 | CA |
N | 207RC0200X | Critical Care Medicine | A68993 | CA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | A68993 | CA |
N | 207RG0100X | Gastroenterologist | A68993 | CA |
N | 207RG0300X | Geriatric Medicine | A68993 | CA |
N | 207RH0000X | Hematologist | A68993 | CA |
N | 207RI0011X | Interventional Cardiology | A68993 | CA |
N | 207RP1001X | Pulmonary Disease | A68993 | CA |
N | 207RR0500X | Rheumatology | A68993 | CA |
N | 207RS0012X | Sleep Medicine | A68993 | CA |
NPI | 1336292176 |
---|---|
Provider Name | Dr. Baljeet S. Sidhu |
First Address | Fresno, CA 93720-3306 |
Second Address | Fresno, CA 93720-3306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 15/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H45428 | (02) | CA |