Provider Demographics
NPI:1306947148
Name:SIDHU-MALIK, NAVJEET KAUR (MD)
Entity type:Individual
Prefix:DR
First Name:NAVJEET
Middle Name:KAUR
Last Name:SIDHU-MALIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3385 TRENT DR
Mailing Address - Street 2:DUMC 3643
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-6973
Mailing Address - Fax:919-684-9577
Practice Address - Street 1:3385 TRENT DR
Practice Address - Street 2:DUMC 3643
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-6973
Practice Address - Fax:919-684-9577
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC32456207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10216Medicare UPIN
NC2008224Medicare PIN