Most Relevant Information
Provider Data
| NPI Number: | 1003444001 |
| Provider Name: | ALEXANDER NIAZI SIDHOM MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2020 |
| Last Updated: | 03/27/2020 |
Provider Practice Location
155 N FRESNO ST
FRESNO
CA
937012302
Practice Location Phone/Fax
| Phone: | 5594996556 |
| Fax: |
Provider Mailing Location
155 N FRESNO ST
FRESNO
CA
937012302
Provider Mailing Phone/Fax
| Phone: | 5594996556 |
| Fax: |