Individual
SISHAM INGNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 638-7757
(307) 638-8359
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 638-7757
(307) 638-8359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11615A
WY
207RI0200X
Infectious Disease Physician
Primary
11615A
WY
208M00000X
Hospitalist Physician
11615A
WY
Other
Enumeration date
09/19/2013
Last updated
04/03/2025
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