| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DAMANJOT KAUR SIDHU | 1609058759 | 2024-11-08 |
Damanjot K Sidhu [F] graduated in 2007 and primarily specializes in Physician Assistant.
Damanjot Kaur Sidhu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1609058759. Registration indicates Damanjot Kaur Sidhu is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 547350605 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Damanjot Kaur Sidhu ARNP |
| Other Provider Name | Daman Sangha |
| Practice Office Address | 1717 S J ST TACOMA, WA US |
| Practice Office Telephone | 2534266341 |
| Practice Office Fax | 2534266344 |
| Mailing Address | 1717 S J ST TACOMA, WA 984054933 US |
| Business Telephone | 2534266341 |
| Business Fax | 2534266344 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA10005289
WA |
| 0226838 | OTHER | WA | STATE L&I |
| 2061302 | MEDICAID | WA |