# DR. RAFIK SIDAROS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962758698
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084F0202X | Forensic Psychiatry Physician | 54819 | CT | — |
| 2084F0202X | Forensic Psychiatry Physician | A173156 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 07/31/2012
- **Last updated:** 12/30/2021