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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093807703 | NPPES |
| Texas | Other | 7112157 | AETNA HEALTHCARE |
| Texas | MEDICAID | 0311623-01 | AETNA HEALTHCARE |
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