Provider Demographics
NPI:1285040758
Name:SIDHU, DAVINDER SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVINDER
Middle Name:SINGH
Last Name:SIDHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 CEDAR STREET DEPARTMENT OF PATHOLOGY
Mailing Address - Street 2:YALE UNIVERSITY SCHOOL OF MEDICINE,
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8070
Mailing Address - Country:US
Mailing Address - Phone:203-688-2441
Mailing Address - Fax:
Practice Address - Street 1:20 YORK STREET PS 210
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-688-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program