Provider Demographics
NPI:1962747758
Name:SIDHU, SHARLEEN (MD)
Entity type:Individual
Prefix:DR
First Name:SHARLEEN
Middle Name:
Last Name:SIDHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 S ELISEO DR STE 201
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-2153
Mailing Address - Country:US
Mailing Address - Phone:415-461-1780
Mailing Address - Fax:415-461-7378
Practice Address - Street 1:900 S ELISEO DR STE 201
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-2153
Practice Address - Country:US
Practice Address - Phone:415-461-1780
Practice Address - Fax:415-461-7378
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA176577207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine