NPI
Kevin Sidhu
NPI 1093165953
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- DO
- Type
- Individual
- Enumeration date
- 2016-06-21
- Last updated
- 2023-08-10
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Specialties
Licenses
- License CA
- 20A15886
- License IL
- 036158817
- License MO
- 2019045209
Location
- Practice location
- 12140 New York Ranch Rd
- City
- Jackson CA
- Postal code
- 95642-9407
- Phone
- (209) 257-2400
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Emergency Medicine Doctors in Jackson, CA. 9 with this primary taxonomy in the public file.
Other NPIs in Jackson, CA. 391 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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