Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 78212 | AZ |
N | 111NI0900X | Internist | 78212 | AZ |
Y | 207RR0500X | Rheumatology | 41707 | AZ |
NPI | 1124220116 |
---|---|
Provider Name | Paramvir Singh Sidhu |
First Address | Goodyear, AZ 85395-2624 |
Second Address | Goodyear, AZ 85395-2624 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2007 |
Last Update Date | 14/04/2017 |