MEDICARE: SYLVAIN SIDI 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	207RG0100X	Gastroenterology Physician	036173259	IL
2	207RG0100X	Gastroenterology Physician	08458	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08458	OTHER	AZ	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	AZ0726920	OTHER	AZ	BCBSAZ

General Provider Information

NPI Number	:	1700995586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVAIN SIDI MD

Provider Business Mailing Address
First Line	:	PO BOX 43160
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85733-3160
Country	:	US
Telephone Number	:	520-722-3777
Fax Number	:	520-296-6224

Provider Business Practice Location Address
First Line	:	310 N WILMOT RD
Second Line	:	SUITE 202
City	:	TUCSON
State	:	AZ
Zip	:	85711-2618
Country	:	US
Telephone Number	:	520-885-7600
Fax Number	:	520-885-7601

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	09/19/2025

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Directions to “ SYLVAIN SIDI MD” Practice Location

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