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General NPI Number Information
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NPI Number | 1649246349
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Entity Type | Individual
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Provider Name | DEEPAL S SIDHU MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 250 HOSPITAL PKWY
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City | SAN JOSE
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State | CA
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Zip | 95119-1103
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Country | US
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Telephone | 408-972-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 3212 WHITESAND DR
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City | SAN JOSE
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State | CA
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Zip | 95148-3807
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Country | US
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Telephone | 408-834-5175
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 220323
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | C52294
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 220323
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License Number State | MA
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