| Doctor Name: | DIP S. SIDHU |
| NPI Number: | 1053469833 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A29814 |
| Business Practice Address: | 9961 Sierra Ave Fontana, CA - 923356720 |
| Business Phone Number: | 9094273910 |
| Business Fax Number: | |
| Mailing Address: | 393 E Walnut St, 3rd Floor Phr Systems PASADENA |
| State: | CA |
| Postal Code: | 911880001 |
| Phone Number: | 0000000000 |
| Fax Number: | 0000000000 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 11/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | A29814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |