Siri, Vicha
Siri, Vicha is an sole proprietor health care provider with primary practice located at 4325 N Josey Ln Ste 111, Carrollton TX 75010-4635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Siri, Vicha can be contacted via phone (972) 492-5000.Contact Information
Primary practice address
4325 N Josey Ln Ste 111
Carrollton TX 75010-4635
Phone: (972) 492-5000
Fax: (972) 394-5909
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G9805 | Texas |
Profile Details
NPI number | 1932176682 |
---|---|
LBN Legal business name | Siri, Vicha |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 1st, 2006 |
Last updated | Mar 7th, 2016 - about 8 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 | 1932176682 | NPPES |
Texas | Other | 4057638 | AETNA |
Texas | MEDICAID | 097524501 | AETNA |
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