Sidhu Medical Assoc PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

56299 Issued in MA

Legal business name

SIDHU MEDICAL ASSOC PC

Practice address

211 West St
Suite 1
Milford, MA 01757

Phone

(508) 473-2176

Fax

(508) 473-7395

NPI assigned

Jan 21, 2009

Organization subpart

No

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

Authorized official

Name

Surinderpal K Sidhu, MDNPI 1528023967

Title

MD

Phone

(508) 473-2176

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Surinderpal Sidhu, MD

  • Internal Medicine Physician
  • Milford, MA
  • NPI 1528023967
  NPD (past) Authorized official
• Kanwarjit Sidhu, MD

  • Cardiovascular Disease Physician
  • Milford, MA
  • NPI 1295727386
  NPD (past)
• Daljeet Singh Sidhu, MD

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1578503686
  NPD (past)

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1821235359",
    "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": "01757",
            "telephone_number": "508-473-2176",
            "fax_number": "508-473-7395"
        },
        {
            "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": "01757",
            "telephone_number": "508-473-2176",
            "fax_number": "508-473-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDHU MEDICAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "SURINDERPAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "508-473-2176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "56299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J08998",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116505",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Internal Medicine Physician in Milford, MA
• Providers in Milford, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.