Organization Active NPI

Gursharan K Sidhu MD

  • Pediatrics Physician
  • Harlan, KY
National Provider Identifier
1023570470
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GURSHARAN K SIDHU MD
Practice address
29 Eula Gray St
Harlan, KY 40831-1750
Phone
(606) 573-9691
Fax
(606) 573-9692
NPI assigned
Apr 4, 2019
Last updated
Apr 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gursharan K Sidhu, MDNPI 1508977067
Title
Physician
Phone
(606) 573-9691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

29 Eula Gray St
Harlan, KY 40831-1750

Mailing address

29 Eula Gray St
Harlan, KY 40831-1750
Phone (606) 573-9691

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1023570470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 EULA GRAY ST",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408311750",
            "telephone_number": "606-573-9691",
            "fax_number": "606-573-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 EULA GRAY ST",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408311750",
            "telephone_number": "606-573-9691",
            "fax_number": "606-573-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURSHARAN K SIDHU MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "GURSHARAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-573-9691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.