MEDICARE: PADMINI SIRCAR M.D.

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	207RC0000X	Cardiovascular Disease Physician	256503	NY
2	207RC0000X	Cardiovascular Disease Physician	MD440741	PA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396069092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PADMINI SIRCAR M.D.

Provider Business Mailing Address
First Line	:	675 N BROAD STREET EXT
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-5805
Country	:	US
Telephone Number	:	724-458-5150
Fax Number	:	724-458-0735

Provider Business Practice Location Address
First Line	:	675 N BROAD STREET EXT
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-5805
Country	:	US
Telephone Number	:	724-458-5150
Fax Number	:	724-458-0735

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

Provider Enumeration Date	:	03/24/2010
Last Update Date	:	10/02/2020

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Directions to “ PADMINI SIRCAR M.D.” Practice Location

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