Provider Demographics
NPI:1316983497
Name:SIDHU, AURBINDERDEEP K (MD)
Entity type:Individual
Prefix:DR
First Name:AURBINDERDEEP
Middle Name:K
Last Name:SIDHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1409 E IRIS DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-2557
Mailing Address - Country:US
Mailing Address - Phone:480-883-6373
Mailing Address - Fax:480-728-4106
Practice Address - Street 1:1501 N GILBERT RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2390
Practice Address - Country:US
Practice Address - Phone:480-728-4114
Practice Address - Fax:480-728-4106
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ32174207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ633088Medicare UPIN