Upinderjit Sidhu, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

028677 Issued in CT

Practice address

300 Seaside Ave
Milford, CT 06460-4603

Phone

(203) 876-4178

NPI assigned

Oct 6, 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

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1821086638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SEASIDE AVE",
            "address_2": "SUITE 201",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604625",
            "telephone_number": "203-783-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SEASIDE AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604603",
            "telephone_number": "203-876-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "UPINDERJIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "028677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001286774",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Shinbaum, MD
• Shoreline Dental Care LLC
• Shoreline Physical Therapy and Sports Medicine LLC
• Marlene Shute, M.D.
• Dalia Sidhom, PHARM D
• Maria Frassinelli Sierra, LCSW
• Edith Teresa Silano
• Philip Jay Silverstone, M.D.
• Julia Marie Silvestri
• Victoria Simeone, LCSW

• Specialist in Milford, CT
• Providers in Milford, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.