Individual
SIDHARTHA SINGH TULACHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E. CLIFF DR. SUITE 1C, EL PASO, TX 79902-4827
(915) 351-7200
(915) 351-7201
Mailing address
1250 E. CLIFF DR. SUITE 1C, EL PASO, TX 79902-4827
(915) 351-7200
(915) 351-7201
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
Q8375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363753001
—
TX
Enumeration date
09/14/2010
Last updated
11/27/2018
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