DR. NISHANTH SIDDURI (NPI# 1811378979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811378979 |
| Entity Type | Individual |
| Full Name | DR. NISHANTH SIDDURI |
| Credential | M.D. |
| Practice Address |
400 W Allegheny Ave Ste 5b Philadelphia PA 19133-3614 |
| Mailing Address |
217 N 11th St Apt #302 Philadelphia PA 19107-1865 |
| Practice Telephone | 2152912500 |
| Practice Fax Number | 2152912582 |
| Mailing Telephone | 9738307406 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD468294 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3401 N Broad St, Philadelphia, PA 191405103 | 2157072000 |
| Street Address |
400 W ALLEGHENY AVE STE 5B |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19133-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
| 1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
| 1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
| 1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
| 1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
| 1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
| 1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
| 1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
| 1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| Find all providers in zip 19133 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1881114742 | Andrea Jasmine Leung | Obstetrics & Gynecology | 5501 Old York Rd # 1-1616, Philadelphia, PA 19141-3018 | 2017-06-22 |
| 1548798093 | Dimitrios Nasioudis | Obstetrics & Gynecology | 3400 Spruce Street, 1 West Gates, Hellen O. Dickens Center for Women's Health, Philadelphia, PA 19104-3123 | 2017-05-30 |
| 1811449697 | West Cayuga Medicine PC | Obstetrics & Gynecology | 257 W Cayuga St, Philadelphia, PA 19140-2439 | 2016-10-27 |
| 1447631536 | Clinton Veselis | Obstetrics & Gynecology | 3401 N Broad St Dept Of, Philadelphia, PA 19140 | 2015-06-15 |
| 1396158820 | Elizabeth Carey Banks | Obstetrics & Gynecology | 800 Walnut St Fl 12, Philadelphia, PA 19107-5176 | 2014-06-02 |
| 1942643895 | Lauren R Maher | Obstetrics & Gynecology | 7901 Bustleton Ave Ste 100, Philadelphia, PA 19152-3331 | 2013-04-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19133 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.