Sidhu Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SIDHU PEDIATRICS, LLC

Doing business as

Senatobia Children's Clinic

Practice address

104 Court St
Senatobia, MS 38668-2606

Phone

(662) 562-4418

Fax

(662) 562-9024

NPI assigned

Apr 26, 2007

Last updated

Apr 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reuben Sidhu

Title

Administrator

Phone

(662) 349-6577

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Senatobia Children's Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Desoto Children's Clinic - Olive Branch3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sidhu Pediatrics, LLC

  dba Desoto Children's Clinic - Southaven

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1326261843
  NPD tax ID
• Sidhu Pediatrics, LLC

  dba Desoto Children's Clinic - Olive Branch

  • Pediatrics Physician
  • Olive Branch, MS
  • NPI 1891179768
  NPD tax ID

Locations

Practitioners 9

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.

• Amber Briggs, APRN

  • Pediatric Nurse Practitioner
  • Southaven, MS
  • NPI 1790486587
  NPD (past)
• Jamie L Carpenter, FNP-C

  • Nurse Practitioner
  • Olive Branch, MS
  • NPI 1114318987
  NPD (past)
• Yen Pham Farmer, FNP-BC

  • Family Nurse Practitioner
  • Southaven, MS
  • NPI 1083902613
  NPD (past)
• Javel Granados, MD

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1518074517
  NPD (past)
• Audrey L Krasin, MD

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1144337155
  NPD (past)
• Nuray Metin, MD

  • Pediatrics Physician
  • Southhaven, MS
  • NPI 1053428060
  NPD (past)
• Galen Phillips, NP

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1093533978
  NPD (past)
• Aneesha Shaiju, M.D.

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1790958114
  NPD (past)
• Desh Deepak Sidhu, MD

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1447268347
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1336369156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 COURT ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682606",
            "telephone_number": "662-562-4418",
            "fax_number": "662-562-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COURT ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682606",
            "telephone_number": "662-562-4418",
            "fax_number": "662-562-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDHU PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-349-6577"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014227",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senatobia Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Senatobia Family Dentistry
• Senatobia Family Practice, P.C.
• Senatobia Municipal School District
• Alexandria Shaw, FNP-C
• Ella Shelton, PTA
• Dawn M Simpson, RPH
• Paul Anthony Sinka, ATC
• Marquita Sledge, PMHNP-BC
• Vanessa K. Sluder, NP
• Katherine Soldevila, NP

• Pediatrics Physician in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.