Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A112751 | CA |
N | 111NI0900X | Internist | A112751 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | A112751 | CA |
Y | 207RX0202X | Medical Oncology | A112751 | CA |
NPI | 1164663878 |
---|---|
Provider Name | Parminder Singh Sidhu |
First Address | Modesto, CA 95350-1159 |
Second Address | Merced, CA 95340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2009 |
Last Update Date | 19/04/2021 |