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Shawn Singh Sidhu

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3020 Childrens Way, San Diego, CA 92123-4223

PECOS Enrollment

This provider is enrolled in PECOS as SHAWN SIDHU.

Based on the most recent information from CMS, provider Shawn Singh Sidhu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1033344429
Provider Type
Individual
Full Name
Sidhu, Shawn Singh
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/28/2009
Last Updated
6/10/2020

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 966-8145

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5003, San Diego, CA 92123-4223

(858) 309-6300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A113606 California
Code 2084P0804X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD2013-0316 New Mexico
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A113606 California

Shawn Singh Sidhu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Solway, Karen E

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Bahadur, Neha

Masillamoni, Stephen Ranjit

Johnson, Brett

Chory, Kayla Alvine

Gildin, Joan Sandra

Richard L Buccigross Md A Medical Corporation

Larson, Jennifer Leevonne

Compagnone, Mariana D