Sidhom, Daniel Alfred

Sidhom, Daniel Alfred is an individual health care provider with primary practice located at 535 Barnhill Dr Ste 340 , Indianapolis IN 46202-5116. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Sidhom, Daniel Alfred can be contacted via phone (317) 944-7451.

Contact Information

Primary practice address
535 Barnhill Dr Ste 340 Indianapolis IN 46202-5116
Phone: (317) 944-7451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X 02007767A Indiana

Profile Details

NPI number 1134782402
LBN Legal business name Sidhom, Daniel Alfred
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2019
Last updated Mar 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134782402 NPPES
Indiana MEDICAID 300090258
Indiana Other 1104185019
Indiana Other 064740080

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