Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | ME0058803 | FL |
Y | 2084N0400X | Neurologist | ME0058803 | FL |
NPI | 1225003668 |
---|---|
Provider Name | Ms. Harinder Kaur Sidhu |
First Address | Orlando, FL 32806-5041 |
Second Address | Orlando, FL 32806-5041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 07/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E73844 | (02) | FL |