Provider Demographics
NPI:1598630915
Name:SIDHU, RAJDEEP (RPM-PHARMACIST-PHARM)
Entity type:Individual
Prefix:MR
First Name:RAJDEEP
Middle Name:
Last Name:SIDHU
Suffix:
Gender:M
Credentials:RPM-PHARMACIST-PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 W. BEHREND DR
Mailing Address - Street 2:APT 3114
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308
Mailing Address - Country:US
Mailing Address - Phone:602-772-8749
Mailing Address - Fax:
Practice Address - Street 1:4890 N. LITCHFIELD RD.
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340
Practice Address - Country:US
Practice Address - Phone:623-547-4799
Practice Address - Fax:623-536-5618
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS027668183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist