Individual
DR. IGOR SISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32872
SC
207R00000X
Internal Medicine Physician
74296
MN
207R00000X
Internal Medicine Physician
C164561
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
C164561
CA
208M00000X
Hospitalist Physician
Primary
164561
CA
208M00000X
Hospitalist Physician
40933
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-71921
EVERCARE
—
01
—
2010579
HIGHMARK BCBS
—
01
—
3426296000
KEYSTONE BCBS (PERSONAL CHOICE)
—
01
—
611455212
TRICARE
—
Enumeration date
12/03/2007
Last updated
03/20/2025
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