Healthcare Provider Details

I. General information

NPI: 1619044690
Provider Name (Legal Business Name): SRIPRIYA DOSS SIDH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8035 E BROWN RD
MESA AZ
85207-3901
US

IV. Provider business mailing address

14405 N BOXWOOD LN UNIT C
FOUNTAIN HILLS AZ
85268-2985
US

V. Phone/Fax

Practice location:
  • Phone: 623-295-1190
  • Fax:
Mailing address:
  • Phone: 623-295-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number52750
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: