MEDICARE: ARANDAPALLAM S SIDHARTHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	G9220	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295745719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARANDAPALLAM S SIDHARTHAN MD

Provider Business Mailing Address
First Line	:	PO BOX 3307
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78540
Country	:	US
Telephone Number	:	956-928-1882
Fax Number	:	956-928-1866

Provider Business Practice Location Address
First Line	:	3910 N JACKSON RD
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-7768
Country	:	US
Telephone Number	:	956-928-1882
Fax Number	:	956-928-1866

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	12/12/2017

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