Sidarous, Gamal F

Sidarous, Gamal F is an sole proprietor health care provider with primary practice located at 1111 E Mcdowell Rd , Phoenix AZ 85006-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Sidarous, Gamal F can be contacted via phone (602) 239-4601.

Contact Information

Primary practice address
1111 E Mcdowell Rd Phoenix AZ 85006-2612
Fax: (602) 239-4271
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 30595 Arizona

Profile Details

NPI number 1699731802
LBN Legal business name Sidarous, Gamal F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated May 19th, 2008 - about 17 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 1699731802 NPPES
Arizona MEDICAID 710930

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