Sisodiya, Kamlesh J.

Sisodiya, Kamlesh J. is an individual health care provider with primary practice located at 5400 State Highway 121 Ste 100 , Colleyville TX 76034-5929. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Sisodiya, Kamlesh J. can be contacted via phone (817) 479-1500.

Contact Information

Primary practice address
5400 State Highway 121 Ste 100 Colleyville TX 76034-5929
Phone: (817) 479-1500
Fax: (817) 479-1504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K1931 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X K1931 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X K1931 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X K1931 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X K1931 Texas

Profile Details

NPI number 1003893397
LBN Legal business name Sisodiya, Kamlesh J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jun 29th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003893397 NPPES
Texas Other 8EL145 BCBS
Texas Other P01356074 BCBS
Texas MEDICAID 127663610 BCBS

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