Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A42338 | CA |
NPI | 1013095991 |
---|---|
Provider Name | Dr. Rabinder Singh Sidhu |
First Address | Fresno, CA 93720-3389 |
Second Address | Fresno, CA 93720-3389 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A423381 | (05) | CA |
E35425 | (02) | CA |