Jagdeep Sidhu, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R72519 Issued in AZ

Practice address

2927 N 7TH Ave
St. Joseph'S Family Medicine-Peppertree BLDG.
Phoenix, AZ 85013-4102

Phone

(602) 406-3153

Fax

(602) 406-7176

NPI assigned

Jul 1, 2011

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1770870438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 N 7TH AVE",
            "address_2": "ST. JOSEPH'S FAMILY MEDICINE-PEPPERTREE BLDG.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134102",
            "telephone_number": "602-406-3153",
            "fax_number": "602-406-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 N 7TH AVE",
            "address_2": "ST. JOSEPH'S FAMILY MEDICINE-PEPPERTREE BLDG.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134102",
            "telephone_number": "602-406-3153",
            "fax_number": "602-406-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "JAGDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R72519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R72519",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatima Siddiqi, AGACNP
• Rebecca Siddiqui
• Ryan Sidebottom, FNP
• Lawrence Mark Sideman, PH.D.
• Scot Michael Sidener, COTA L
• Jiten Sidhu, PHARM.D.
• Mandeep Kaur Sidhu, PMHNP
• Sandeep Sidhu, MD
• Upinder Singh Sidhu, MD
• Ibrahim H Sidiqi, MD

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.