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NPI Code Detail

MEDICARE: DR. NAVNEET SIDHU M.D.

MEDICARE: DR. NAVNEET SIDHU M.D.
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
1208M00000XHospitalist Physician51150-020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
160996OTHERWIDEAN HEALTH INSURANCE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568540011
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAVNEET SIDHU M.D.
Provider Business Mailing Address
First Line : 1000 MINERAL POINT AVE
Second Line : DEAN MEDICAL CENTER
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-756-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MINERAL POINT AVE
Second Line : DEAN MEDICAL CENTER
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-756-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 03/11/2011

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