Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A105358 | CA |
NPI | 1326296369 |
---|---|
Provider Name | Dr. Adam Sidky |
First Address | Palo Alto, CA 94303-4504 |
Second Address | Palo Alto, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2008 |
Last Update Date | 03/09/2008 |