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NPI Code Detail

MEDICARE: MANPREET SIDHU MD

MEDICARE:   MANPREET  SIDHU  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician316379NY

General Provider Information

NPI Number : 1043194806
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANPREET SIDHU MD
Provider Business Mailing Address
First Line : 30 HUDSON YARDS
Second Line :
City : NEW YORK
State : NY
Zip : 10001-2170
Country : US
Telephone Number : 212-235-1582
Fax Number : 833-438-4460
Provider Business Practice Location Address
First Line : 30 HUDSON YARDS
Second Line :
City : NEW YORK
State : NY
Zip : 10001-2170
Country : US
Telephone Number : 212-235-1582
Fax Number : 833-438-4460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2025
Last Update Date : 01/05/2026

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