SUKHNANDAN SIDHU (NPI# 1306931522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306931522 |
| Entity Type | Individual |
| Full Name | SUKHNANDAN SIDHU |
| Credential | M.D. ; M.B.,B.S. |
| Practice Address |
2937 Veneman Ave Suite A110 Modesto CA 95356 |
| Practice Telephone | 2092043829 |
| Practice Fax Number | 2095768900 |
| Mailing Telephone | (209) 204-3829 |
| Mailing Fax Number | 2095768900 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A72536 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A72536 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1510 Florida Ave, Modesto, CA 953504437 | 2095497090 | 2095497099 |
| Street Address |
2937 VENEMAN AVE SUITE A110 |
| City | MODESTO |
| State | CA |
| Zip Code | 95356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790198968 | Premier Healthcare Services, LLC | Home Health | 2937 Veneman Ave, Suite A-100, Modesto, CA 95356-0638 | 2014-06-05 |
| 1891947339 | James Lee Hendrix | Marriage & Family Therapist | 2937 Veneman Ave, Suite B250/b255, Modesto, CA 95356-0638 | 2008-10-15 |
| 1932395365 | Valerie Buschor | Dentist | 2937 Veneman Ave, Suite 201a, Modesto, CA 95356-0638 | 2007-09-19 |
| 1740321454 | Kelli Ann King | Marriage & Family Therapist | 2937 Veneman Ave, # A117, Modesto, CA 95356-0638 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588079255 | Aditi Giri | Psychiatry & Neurology | 1510 Florida Ave Ste B, Modesto, CA 95350-4437 | 2014-06-21 |
| 1356453864 | Ricardo Orlando Gonzales | Psychiatry & Neurology | 1127 13th St, Modesto, CA 95354-0907 | 2006-08-31 |
| 1811291503 | Fahmy Ibrahim Md Inc | Psychiatry & Neurology | 1501 Claus Road, Modesto, CA 95355 | 2011-01-10 |
| 1548332380 | Alisha O. Dunn | Psychiatry & Neurology | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-15 |
| 1255424404 | Fahmy Ibrahim | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2006-10-02 |
| 1952402141 | Banu Brar | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2006-09-26 |
| 1609987510 | Stewart Quisling | Psychiatry & Neurology | 3340 Tully Rd, D-2, Modesto, CA 95350-0838 | 2006-08-31 |
| 1750348025 | Gagandeep Singh Popli | Psychiatry & Neurology | 2020 Coffee Rd, Suite C5, Modesto, CA 95355-2427 | 2006-04-28 |
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|---|---|---|---|---|
| 1710506308 | Nisha Warikoo Md Inc | Psychiatry & Neurology | 19200 Von Karman Ave, Ste 623, Irvine, CA 92612-8553 | 2020-04-13 |
| 1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
| 1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.