Provider Demographics
NPI:1962718957
Name:SIDHU, PUSHAP PREET KAUR (MD)
Entity type:Individual
Prefix:DR
First Name:PUSHAP
Middle Name:PREET KAUR
Last Name:SIDHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 BROADWAY
Mailing Address - Street 2:APT 6H
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2003
Mailing Address - Country:US
Mailing Address - Phone:214-893-1482
Mailing Address - Fax:
Practice Address - Street 1:138 W KINGSBRIDGE ROAD
Practice Address - Street 2:JAMES J PETERS VA MEDICAL CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468
Practice Address - Country:US
Practice Address - Phone:718-584-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program