Individual
VASU SIDAGAM
Active
Individual
VASU SIDAGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.084545
OH
207R00000X
Internal Medicine Physician
35-084545
OH
208M00000X
Hospitalist Physician
35-084545
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221222
UNISON
OH
01
—
000000503543
ANTHEM
OH
05
—
2496053
—
OH
01
—
364011
WELLCARE
OH
01
—
742838
BUCKEYE
OH
01
—
7752646
AETNA
OH
01
—
P00209940
RAILROAD MEDICARE
OH
01
—
P00397868
RAILROAD MEDICARE
OH
Enumeration date
07/14/2006
Last updated
08/29/2012
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