MEDICARE: DR. JANITA SIDHU MBBS

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
1	2084N0400X	Neurology Physician	25MA12997300	NJ

General Provider Information

NPI Number	:	1982344362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANITA SIDHU MBBS

Provider Business Mailing Address
First Line	:	9260 W SUNSET RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	702-994-6996
Fax Number	:

Provider Business Practice Location Address
First Line	:	9260 W SUNSET RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	702-994-6996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2022
Last Update Date	:	04/11/2026

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