Individual
SIDDHARTH KOGILWAIMATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
324444
NY
207RI0200X
Infectious Disease Physician
Primary
U8366
TX
Other
Enumeration date
09/18/2023
Last updated
03/04/2024
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