Provider Demographics
NPI:1093217309
Name:SIDHU, PREETPAL SINGH (PHD)
Entity Type:Individual
Prefix:DR
First Name:PREETPAL
Middle Name:SINGH
Last Name:SIDHU
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 OLD FIELD WAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1721
Mailing Address - Country:US
Mailing Address - Phone:844-550-0308
Mailing Address - Fax:
Practice Address - Street 1:110 DEWEY DR STE A
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-7124
Practice Address - Country:US
Practice Address - Phone:844-550-0308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management