Individual
ANIKET R SIDHAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 367-2222
(410) 466-4311
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D62623
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014228000
—
MD
Enumeration date
05/22/2007
Last updated
01/31/2014
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