Desh Deepak Sidhu, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

08224 Issued in MS

Practice address

7276 Southcrest Parkway
Southaven, MS 38671

Phone

(662) 349-6577

Fax

(662) 349-6562

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sidhu Pediatrics, LLC

  dba Desoto Children's Clinic - Southaven

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1326261843
  NPD (past)
• Sidhu Pediatrics, LLC

  dba Senatobia Children's Clinic

  • Pediatrics Physician
  • Senatobia, MS
  • NPI 1336369156
  NPD (past)
• Sidhu Pediatrics, LLC

  dba Desoto Children's Clinic - Olive Branch

  • Pediatrics Physician
  • Olive Branch, MS
  • NPI 1891179768
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447268347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 COURT STREET",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "38668",
            "telephone_number": "662-562-4428",
            "fax_number": "662-562-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7276 SOUTHCREST PARKWAY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-349-6577",
            "fax_number": "662-349-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "DESH",
        "middle_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "08224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.