Individual
TRISHUL SIDDHARTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 NW 10TH AVE STE 1101, MIAMI, FL 33136-1011
(305) 243-6387
(305) 243-6372
Mailing address
1450 NW 10TH AVE STE 1101, MIAMI, FL 33136-1011
(305) 243-6387
(305) 243-6372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D80049
MD
207RP1001X
Pulmonary Disease Physician
D80049
MD
207RP1001X
Pulmonary Disease Physician
Primary
ME147348
FL
Other
Enumeration date
03/29/2011
Last updated
11/04/2020
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