Sidhu Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SIDHU PEDIATRICS, LLC

Practice address

7145 Goodman Road
Olive Branch, MS 38654

Phone

(662) 333-5001

Fax

(662) 420-7063

NPI assigned

Jul 10, 2015

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 2

Other names 1

• Desoto Children's Clinic - Olive Branch 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

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

  • Pediatrics Physician
  • Senatobia, MS
  • NPI 1336369156
  NPD tax ID

Locations

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1891179768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541904",
            "telephone_number": "662-333-5001",
            "fax_number": "662-420-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 GOODMAN ROAD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654",
            "telephone_number": "662-333-5001",
            "fax_number": "662-420-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDHU PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016777",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07529722",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desoto Children's Clinic - Olive Branch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deanna N Shelton, A.P.N.
• Phillip Shockley, DDS
• Sharon Short, OTA
• Zanetriah Shorty
• Jessica Ann Shoup, PHARM.D.
• Siffrard Family Dentistry, PLLC
• Venis Fils Siffrard, DDS
• Alicia G Sims, PHARM D
• Katashia Singleton
• Melissa Verkler Slade, MOT,OTR/L

• Pediatrics Physician in Olive Branch, MS
• Providers in Olive Branch, 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.