Sisodia, Teeresa
Sisodia, Teeresa is an individual health care provider with primary practice located at 3251 N Mcmullen Booth Rd Ste 303 , Clearwater FL 33761-2022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sisodia, Teeresa can be contacted via phone (727) 725-6110.Contact Information
Primary practice address
3251 N Mcmullen Booth Rd Ste 303
Clearwater FL 33761-2022
Phone: (727) 725-6110
Fax: (727) 669-9742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29489 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME73970 | Florida |
Profile Details
| NPI number | 1992772016 |
|---|---|
| LBN Legal business name | Sisodia, Teeresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Oct 15th, 2019 - about 6 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 | 1992772016 | NPPES |
| Florida | MEDICAID | 256778400 | |
| Florida | Other | P00730114 |
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