MEDICARE: SANKARA ATMAN SIDAT-SINGH 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
1	207Q00000X	Family Medicine Physician	20172	AZ

General Provider Information

NPI Number	:	1164750782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANKARA ATMAN SIDAT-SINGH MD

Provider Business Mailing Address
First Line	:	17220 N BOSWELL BLVD
Second Line	:	STE 202W
City	:	SUN CITY
State	:	AZ
Zip	:	85373-2000
Country	:	US
Telephone Number	:	623-556-8860
Fax Number	:	623-876-9559

Provider Business Practice Location Address
First Line	:	17220 N BOSWELL BLVD
Second Line	:	STE 202W
City	:	SUN CITY
State	:	AZ
Zip	:	85373-2000
Country	:	US
Telephone Number	:	623-556-8860
Fax Number	:	623-876-9559

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

Provider Enumeration Date	:	11/19/2009
Last Update Date	:	11/19/2009

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