Individual
DR. SIDNEY K GICHERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 W LYNDON B JOHNSON FWY STE 300, IRVING, TX 75063-3841
(214) 574-9600
(214) 574-9601
Mailing address
440 W LYNDON B JOHNSON FWY STE 300, IRVING, TX 75063-3841
(214) 574-9600
(214) 574-9601
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K8626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311623-01
—
TX
01
—
7112157
AETNA HEALTHCARE
TX
Enumeration date
09/29/2006
Last updated
07/16/2025
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