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Contact Information

SIDHU PEDIATRICS, LLC
7276 SOUTHCREST PKWY
SOUTHAVEN, MS38671
 Phone: 662-349-6577
 Fax: 662-349-6562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SIDHU PEDIATRICS, LLC

NPI # 1326261843
LBN Legal business name SIDHU PEDIATRICS, LLC
Authorized official REUBEN SIDHU - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2007
Last updated 04/06/2026 - About 2 months ago
Identifiers
MS Medicaid 09015155
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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