Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 35.089252 | OH |
Y | 2086S0129X | Vascular Surgeon | MD 60299610 | WA |
NPI | 1083879340 |
---|---|
Provider Name | Dr. Ramandeep Singh Sidhu |
First Address | Issaquah, WA 98027-9371 |
Second Address | Issaquah, WA 98027-9371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 16/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3043576 | (05) | OH |