# SALVATORE PATRICK SIDOTI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528093473
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36.002376 | OH | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 11/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000137465 | ANTHEM | OH |
| 05 | — | 0652815 | — | OH |
| 01 | — | 104030 | KAISER HMO | OH |
| 01 | — | 1367002 | UNITED MINE WORKERS | OH |