Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | D78135 | MD |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | D78135 | MD |
NPI | 1285923862 |
---|---|
Provider Name | Sunjeet Singh Sidhu |
First Address | Washington, DC 20010-3017 |
Second Address | Baltimore, MD 21218-2829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 23/06/2020 |