Savira Virk Sidhu, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N04245 Issued in MS

Practice address

5740 Getwell Rd
BLDG 4C
Southaven, MS 38672-6346

Phone

(662) 892-5000

Fax

(662) 892-5002

NPI assigned

Nov 14, 2006

Last updated

May 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Clinic, P.C.

  • Prescribing (Medical) Psychologist
  • Southaven, MS
  • NPI 1386860898
  Authorized official Same address or phone
• State of Tennessee State F & a Payroll

  dba Memphis Mental Health Institute

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1457435893
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1184796203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2024",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542209",
            "telephone_number": "662-892-5000",
            "fax_number": "662-892-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 GETWELL RD",
            "address_2": "BLDG 4C",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726346",
            "telephone_number": "662-892-5000",
            "fax_number": "662-892-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "SAVIRA",
        "middle_name": "VIRK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD000025744",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "N04245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725205",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120361",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F95674",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shehbaz Syed Shukoor, M.D.
• Kimberly Shea Shurden, PHARMD
• Brian Ivan Shwer, D.P.M.
• Sidhu Pediatrics, LLC (Desoto Children's Clinic - Southaven)
• Desh Deepak Sidhu, MD
• Megan Sigler
• Daniel Rhett Simmons, D.M.D.
• Simple Strokes Behavioral and Mental Health Group Inc
• Simple Strokes Therapy
• Simple Strokestherapy Consultants, PA

• Psychiatry Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.