Individual
SISIR SIDDAMSETTI
Active
Individual
SISIR SIDDAMSETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125066643
IL
207RC0000X
Cardiovascular Disease Physician
Primary
2024033499
MO
208M00000X
Hospitalist Physician
PENDING
KS
Other
Enumeration date
07/20/2015
Last updated
07/01/2026
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