Provider Demographics
NPI:1093893794
Name:RABINDER S. SIDHU, M.D., INC
Entity Type:Organization
Organization Name:RABINDER S. SIDHU, M.D., INC
Other - Org Name:ALLERGY & ASTHMA ASSOCIATES- A MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RABINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-325-7775
Mailing Address - Street 1:7151 N CEDAR AVE
Mailing Address - Street 2:SUITE #103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3389
Mailing Address - Country:US
Mailing Address - Phone:559-325-7775
Mailing Address - Fax:559-325-7505
Practice Address - Street 1:7151 N CEDAR AVE
Practice Address - Street 2:SUITE #103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3389
Practice Address - Country:US
Practice Address - Phone:559-325-7775
Practice Address - Fax:559-325-7505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42338207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A423381Medicaid
00A423382Medicare ID - Type Unspecified
CA00A423381Medicaid