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NPI Code Detail

MEDICARE: DR. CYNTHIA S SIKORSKI MD

MEDICARE: DR. CYNTHIA S SIKORSKI 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
1207R00000XInternal Medicine Physician22885SC

Other Identifiers

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

General Provider Information

NPI Number : 1366422313
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA S SIKORSKI MD
Provider Business Mailing Address
First Line : 201 LOBLOLLY CIR
Second Line :
City : LADSON
State : SC
Zip : 29456-3160
Country : US
Telephone Number : 843-478-4801
Fax Number :
Provider Business Practice Location Address
First Line : 3600 RIVERS AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-7747
Country : US
Telephone Number : 843-743-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 07/08/2007

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