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1050 E Southern Ave G 1 Tempe AZ 85282-5403 | |
| (480) 966-1485 | |
| (480) 968-5020 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1050 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Sardev S Sidhu (PSYCHIATRIST) |
| Authorized Official Contact | 4809661485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 23687 Tempe AZ 85285-3687 Ph: (480) 966-1485 | 1050 E Southern Ave G 1 Tempe AZ 85282-5403 Ph: (480) 966-1485 |
| NPI Number | 1205018900 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205018900 | NPI | - | NPPES |
| AZ07364 | Other | AZ | SUBMITTER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arizona) | Primary |
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