Kanwarjit Sidhu, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

42065 Issued in MA

Practice address

211 West St
Suite 1
Milford, MA 01757-2201

Phone

(508) 473-2022

Fax

(508) 478-7395

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3094/brand/1/csg/1/fhir/r4

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

• Greater Boston Medical Associates, Inc.

  • Specialist
  • Milford, MA
  • NPI 1225161201
  NPD (past)
• Sidhu Medical Assoc PC

  • Internal Medicine Physician
  • Milford, MA
  • NPI 1821235359

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1295727386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WEST ST",
            "address_2": "SUITE 1",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572201",
            "telephone_number": "508-473-2022",
            "fax_number": "508-478-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WEST ST",
            "address_2": "SUITE 1",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572201",
            "telephone_number": "508-473-2022",
            "fax_number": "508-478-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "KANWARJIT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "42065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0191388",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Taylor Short
• Madhav Shrirao, DMD
• Pankaj I. Shroff, M.D.
• Riley Ann Shultz
• Sidhu Medical Assoc PC
• Surinderpal Sidhu, MD
• Ashley Elizabeth Sidla
• Cynthia L Siegel
• Alicia V Silva
• Jasmine Silva

• Cardiovascular Disease Physician in Milford, MA
• Providers in Milford, MA by specialty
• Cardiovascular Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.