Provider Demographics
NPI:1841787058
Name:SIDHU, NATALIA ILSE (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:ILSE
Last Name:SIDHU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:440 RAYNOLDS ST # 51015
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-1613
Mailing Address - Country:US
Mailing Address - Phone:915-215-4479
Mailing Address - Fax:915-215-5386
Practice Address - Street 1:4845 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2705
Practice Address - Country:US
Practice Address - Phone:915-215-5700
Practice Address - Fax:915-215-8872
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2023-09-07
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Provider Licenses
StateLicense IDTaxonomies
CAA174202208000000X
TXU5230208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics