Individual
GEORGE SIDAROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7199
(501) 686-8000
Mailing address
3800 RESERVOIR RD NW DEPT OF, WASHINGTON, DC 20007-2113
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101281005
VA
208D00000X
General Practice Physician
0101281005
VA
Other
Enumeration date
03/27/2022
Last updated
07/20/2025
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