| Kamaldeep Sidhu, | |
| 
					164 Turkey Hill Rd, Rutland, MA 01543-2256  | |
| (508) 320-0362 | |
| Not Available | 
| Full Name | Kamaldeep Sidhu | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 164 Turkey Hill Rd, Rutland, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609614569 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2023165393 (Massachusetts) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | RN2358975 (Massachusetts) | Primary | 
| Entity Name | Lahey Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097  | 
| Entity Name | Lahey Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kamaldeep Sidhu, 164 Turkey Hill Rd, Rutland, MA 01543-2256 Ph: (508) 320-0362  | Kamaldeep Sidhu, 164 Turkey Hill Rd, Rutland, MA 01543-2256 Ph: (508) 320-0362  | 
Jeffrey Robichaud, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Maple Spring Dr, Rutland, MA 01543 Phone: 978-895-3553  | |
Mrs. Adrianna Marie Nathan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175a Glenwood Rd, Rutland, MA 01543 Phone: 978-728-8321  | |
Quillah White Hakkarainen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Hickory Dr, Rutland, MA 01543 Phone: 603-769-1433  | |
Juliet Ndiwabene,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Sedona Cir, Rutland, MA 01543 Phone: 832-757-3688  |