PRINCE JIT SIDHU (NPI# 1508816380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508816380 |
| Entity Type | Individual |
| Full Name | PRINCE JIT SIDHU |
| Credential | MD |
| Practice Address |
521 E Michigan Ave Suite 201 Kalamazoo MI 49007-3889 |
| Practice Telephone | 2693496759 |
| Practice Fax Number | 2693497450 |
| Mailing Telephone | 2693496759 |
| Mailing Fax Number | 2693497450 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4301066059 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS INDIVIDUAL | 1103910080 | 01 |
| MI | 104871597 | 05 | |
| MI | 104439598 | 05 | |
| MI | 104871701 | 05 |
| Street Address |
521 E MICHIGAN AVE SUITE 201 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-3889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083678767 | Paragon Health, PC | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2006-04-12 |
| 1659886810 | Laura Meghann Robertson | Nurse Practitioner | 521 E Michigan Ave, Kalamazoo, MI 49007-3889 | 2017-12-11 |
| 1154524338 | Aash P Bhatt | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2007-06-06 |
| 1699894709 | Joon Sung Park | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2007-03-28 |
| 1396864401 | Peter Gable Manring | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2007-03-28 |
| 1407897465 | Renal Care Group Southwest Michigan, LLC | Clinic/Center | 521 E Michigan Ave, Kalamazoo, MI 49007-3889 | 2006-06-09 |
| 1619927563 | Karen F Robinson | Nurse Practitioner | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2006-05-11 |
| 1043260821 | Ahsan A Qureshi | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2006-05-11 |
| 1184673709 | Than N Oo | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2006-05-10 |
| 1922057546 | Ahmed Aqeel | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2006-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174795595 | Jeffrey Francis Block | Internal Medicine | 1114 Edgemoor Ave, Kalamazoo, MI 49008-2320 | 2008-03-26 |
| 1023296050 | Valerie Siqueira Duhn | Internal Medicine | 521 E. Michigan Ave, Ste 201, Kalamazoo, MI 49007 | 2008-01-31 |
| 1548213986 | Kenneth A Fisher | Internal Medicine | 4335 Roxbury Ln, Kalamazoo, MI 49008-3314 | 2006-05-18 |
| 1083678767 | Paragon Health, PC | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2006-04-12 |
| 1801043336 | Christina Marie Vaughn | Internal Medicine | 601 John St, Box 74, Kalamazoo, MI 49007-5341 | 2008-08-27 |
| 1154524338 | Aash P Bhatt | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2007-06-06 |
| 1699894709 | Joon Sung Park | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2007-03-28 |
| 1396864401 | Peter Gable Manring | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2007-03-28 |
| 1043260821 | Ahsan A Qureshi | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2006-05-11 |
| 1184673709 | Than N Oo | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2006-05-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.