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EVGENY VADIMOVICH SIDOROV MD NPI 1417098880


NPI Information

NPI: 1417098880
Provider Name: EVGENY VADIMOVICH SIDOROV, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
711 STANTON L YOUNG BLVD
PPB 215
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-4113
Get Directions

Evgeny Vadimovich Sidorov, MD is a neurology psychiatry neurology in Oklahoma City, OK with 27 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Evgeny Vadimovich Sidorov, MD NPI is 1417098880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

711 STANTON L YOUNG BLVD
PPB 215
OKLAHOMA CITY, OK
ZIP 73104-023
Phone: (405) 271-4113

The NPI 1417098880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology24894OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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