Individual
SHANAZ SIKDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 S 11TH ST STE 100, BOISE, ID 83702
(208) 429-0300
Mailing address
403 S 11TH ST STE 100, BOISE, ID 83702-6968
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-14200
ID
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M-14200
ID
Other
Enumeration date
03/27/2012
Last updated
05/22/2018
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