DR. GURSIMAR K SIDHU MD NPI 1063651735

NPI Information

NPI: 1063651735
Provider Name: DR. GURSIMAR K SIDHU, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
1925 PACIFIC AVE
INTERNAL MEDICINE
ATLANTIC CITY, NJ
ZIP 08401
Phone: (609) 411-8074
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DR. Gursimar K Sidhu, MD is a student in an organized health care education training program in Atlantic City, NJ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Gursimar K Sidhu, MD NPI is 1063651735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1925 PACIFIC AVE
INTERNAL MEDICINE
ATLANTIC CITY, NJ
ZIP 08401-713
Phone: (609) 411-8074

The enumeration date for this NPI number is 2/19/2009 and was last updated on 3/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		25MA09079800	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	246780YMO	MEDICARE PIN	NEW JERSEY
2	246780YU0M	MEDICARE PIN	NEW JERSEY
3	0304191	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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