Gicheru, Sidney K

Gicheru, Sidney K is an sole proprietor health care provider with primary practice located at 440 W Lbj Freeway Suite 300 Plaza Ii, Irving TX 75063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gicheru, Sidney K can be contacted via phone (214) 574-9600.

Contact Information

Primary practice address
440 W Lbj Freeway Suite 300 Plaza Ii Irving TX 75063
Phone: (214) 574-9600
Fax: (214) 574-9601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X K8626 Texas

Profile Details

NPI number 1093807703
LBN Legal business name Gicheru, Sidney K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jul 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093807703 NPPES
Texas Other 7112157 AETNA HEALTHCARE
Texas MEDICAID 0311623-01 AETNA HEALTHCARE

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