DR. SUKHAMPAL SINGH SIDHU (NPI# 1871851782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871851782 |
| Entity Type | Individual |
| Full Name | DR. SUKHAMPAL SINGH SIDHU |
| Credential | M.D. |
| Practice Address |
630 N Alvernon Way Ste 251 Tucson AZ 85711-1879 |
| Mailing Address |
6759 N Van Ness Blvd Fresno CA 93711-1251 |
| Practice Telephone | 2167782273 |
| Mailing Telephone | (559) 978-5192 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
53367 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
630 N ALVERNON WAY STE 251 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-1879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922090513 | Soungwon Bae | Pediatrics | 630 N Alvernon Way Ste 251, Tucson, AZ 85711-1879 | 2005-08-18 |
| 1104303080 | Shaina Berman | Physician Assistant | 630 N Alvernon Way Ste 251, Tucson, AZ 85711 | 2018-07-24 |
| 1093258964 | Matthew Gilkey | Nurse Practitioner | 630 N Alvernon Way Ste 251, Tucson, AZ 85711-1879 | 2016-11-28 |
| 1023564135 | Jessica Coffey | Nurse Practitioner | 630 N Alvernon Way Ste 251, Tucson, AZ 85711-1879 | 2016-08-29 |
| 1851747166 | Christopher Taylor | Nurse Practitioner | 630 N Alvernon Way Ste 251, Tucson, AZ 85711 | 2016-05-05 |
| 1972834984 | Carondelet Medical Group Inc | Podiatrist | 630 N Alvernon Way Ste 251, Tucson, AZ 85711-1879 | 2010-01-15 |
| 1124294756 | Winola Rachel Purushotham | Internal Medicine | 630 N Alvernon Way Ste 251, Tucson, AZ 85711-1879 | 2008-05-04 |
| 1215159322 | Deepa Agarwal | Pediatrics | 630 N Alvernon Way Ste 251, Tucson, AZ 85711-1879 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1275762130 | Muhammad Jawad Sethi | Internal Medicine | 6365 E Tanque Verde Rd Ste 200, Tucson, AZ 85715 | 2009-07-13 |
| 1164457339 | David Alster | Internal Medicine | 6050 N Corona Rd Bldg 1, Tucson, AZ 85704-1097 | 2006-07-12 |
| 1790727790 | Jeannie H Chen | Internal Medicine | 6039 E Grant Rd, Tucson, AZ 85712-2317 | 2006-06-12 |
| 1255388328 | Craig S Stump | Internal Medicine | 1656 E Mabel St, Tucson, AZ 85724-0001 | 2006-05-27 |
| 1760001275 | Jules Place, LLC | Internal Medicine | 630 S Craycroft Rd, Tucson, AZ 85711-7108 | 2020-04-14 |
| 1760871511 | Gisell Yuriana Gonzalez Rios | Internal Medicine | 3950 S Country Club Rd Ste 140, Tucson, AZ 85714-2203 | 2015-01-16 |
| 1164775524 | Julia S Levai Md PC | Internal Medicine | 6510 E Carondelet Dr, Tucson, AZ 85710-2168 | 2012-10-23 |
| 1235275785 | Dorota E Pucyk | Internal Medicine | 6130 N La Cholla Blvd, Suite 2100, Tucson, AZ 85741-3557 | 2007-01-30 |
| 1083766828 | Tucson Endocrine Associates Pllc | Internal Medicine | 6050 N Corona Rd, Suite 1, Tucson, AZ 85704-1096 | 2007-01-18 |
| 1437258852 | David G Johnson | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-09-22 |
| Find all providers in TUCSON | ||||
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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.