MEDICARE: NATASHA 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
1	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	16631	NV
2	390200000X	Student in an Organized Health Care Education/Training Program	LL1907	NV
3	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	16631	NV

General Provider Information

NPI Number	:	1831351014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA SIDHU M.D.

Provider Business Mailing Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2329
Country	:	US
Telephone Number	:	702-383-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2329
Country	:	US
Telephone Number	:	702-383-1958
Fax Number	:

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

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	10/29/2024

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Directions to “ NATASHA SIDHU M.D.” Practice Location

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