Provider Demographics
NPI:1831311489
Name:SIDHU, PAMIL P (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMIL
Middle Name:P
Last Name:SIDHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:12406 E DESMET AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-2993
Mailing Address - Country:US
Mailing Address - Phone:509-688-0147
Mailing Address - Fax:
Practice Address - Street 1:12406 E DESMET AVE STE A
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-2993
Practice Address - Country:US
Practice Address - Phone:509-688-0147
Practice Address - Fax:509-688-0148
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA1043627573207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine