Provider Demographics
NPI:1144661372
Name:SIDHU, HARLIN SINGH
Entity type:Individual
Prefix:DR
First Name:HARLIN
Middle Name:SINGH
Last Name:SIDHU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 SE 6TH ST
Mailing Address - Street 2:APT 3303
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2560
Mailing Address - Country:US
Mailing Address - Phone:630-803-5526
Mailing Address - Fax:
Practice Address - Street 1:8430 MILLS DR
Practice Address - Street 2:
Practice Address - City:KENDALL
Practice Address - State:FL
Practice Address - Zip Code:33183-4807
Practice Address - Country:US
Practice Address - Phone:305-279-4260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4903152W00000X
NYTUV008038-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist