Provider Demographics
NPI:1497162853
Name:SIDHU, HEMA KAUR (PHD, RPSGT, RST)
Entity Type:Individual
Prefix:
First Name:HEMA
Middle Name:KAUR
Last Name:SIDHU
Suffix:
Gender:F
Credentials:PHD, RPSGT, RST
Other - Prefix:
Other - First Name:HEMA
Other - Middle Name:
Other - Last Name:MANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5216 LYNNGATE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1435
Mailing Address - Country:US
Mailing Address - Phone:443-851-6395
Mailing Address - Fax:
Practice Address - Street 1:5216 LYNNGATE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-1435
Practice Address - Country:US
Practice Address - Phone:443-851-6395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDZ0000064246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other