| Evgeny Vadimovich Sidorov, MD | |
|
711 Stanton L Young Blvd, Ppb 215, Oklahoma City, OK 73104-5023 | |
| (405) 271-4113 | |
| Not Available |
| Full Name | Evgeny Vadimovich Sidorov |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 29 Years |
| Location | 711 Stanton L Young Blvd, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417098880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 24894 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| O U Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ou Health Partners Inc | 5991105876 | 949 |
| Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
| Entity Name | Ou Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Evgeny Vadimovich Sidorov, MD 940 Stanton L Young Blvd, Bmsb 357, Oklahoma City, OK 73104-5020 Ph: () - | Evgeny Vadimovich Sidorov, MD 711 Stanton L Young Blvd, Ppb 215, Oklahoma City, OK 73104-5023 Ph: (405) 271-4113 |
Lindsay Horn, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1140 N Hudson Ave, Oklahoma City, OK 73103 Phone: 405-858-2800 | |
Adil Tumbi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-3184 | |
Sona Maan, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 920 Stanton L Young Blvd Ste 3216, Oklahoma City, OK 73104 Phone: 405-271-5251 | |
Matthew Michael Ryan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 800 N W 9th Street, Suite 100, Oklahoma City, OK 73106 Phone: 405-815-5050 Fax: 405-815-5051 | |
Dr. Meheroz H Rabadi, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 Fax: 405-456-1504 | |
Willis Holloway Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6613 N Meridian Ave, Oklahoma City, OK 73116 Phone: 405-603-8450 Fax: 405-603-8455 | |
Chauncey Atterberry, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 |