Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD476240 | PA |
N | 111NI0900X | Internist | MD476240 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD476240 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD476240 | PA |
NPI | 1679069009 |
---|---|
Provider Name | Kirandeep Kaur Sidhu |
First Address | Philadelphia, PA 19104-4238 |
Second Address | Philadelphia, PA 19104-4238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2018 |
Last Update Date | 11/01/2022 |