Sidorov, Evgeny Vadimovich

Sidorov, Evgeny Vadimovich is an individual health care provider with primary practice located at 711 Stanton L Young Blvd Ppb 215, Oklahoma City OK 73104-5023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Sidorov, Evgeny Vadimovich can be contacted via phone (405) 271-4113.

Contact Information

Primary practice address
711 Stanton L Young Blvd Ppb 215 Oklahoma City OK 73104-5023
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 24894 Oklahoma

Profile Details

NPI number 1417098880
LBN Legal business name Sidorov, Evgeny Vadimovich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 8th, 2007 - about 19 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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