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NPI Code Detail

MEDICARE: GURMEET S SIDHU MD

MEDICARE:   GURMEET S 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
12085R0202XDiagnostic Radiology PhysicianD31683MD
22085R0204XVascular & Interventional Radiology PhysicianD31683MD

Other Identifiers

General Provider Information

NPI Number : 1821088204
Entity Type Code : Individual
Provider Name (Legal Business Name) : GURMEET S SIDHU MD
Provider Business Mailing Address
First Line : 3001 HOSPITAL DR, DEPT OF RADIOLOGY
Second Line :
City : CHEVERLY
State : MD
Zip : 20785-1189
Country : US
Telephone Number : 301-618-3340
Fax Number :
Provider Business Practice Location Address
First Line : 3001 HOSPITAL DR, DEPT OF RADIOLOGY
Second Line :
City : CHEVERLY
State : MD
Zip : 20785-1189
Country : US
Telephone Number : 301-618-3340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 04/26/2019

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Directions to “ GURMEET S SIDHU MD” Practice Location

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