| Gamal F Sidarous, MD | |
|
1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | |
| (602) 239-4601 | |
| (602) 239-4271 |
| Full Name | Gamal F Sidarous |
|---|---|
| Gender | Male |
| Speciality | Nuclear Medicine |
| Experience | 48 Years |
| Location | 1111 E Mcdowell Rd, Phoenix, Arizona |
| 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 |
|---|---|---|---|
| 1699731802 | NPI | - | NPPES |
| 710930 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207U00000X | Nuclear Medicine | 30595 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner - University Hospital Based Physicians Llc | 1052614294 | 343 |
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 636 |
| Yuma Cardiology Associates Pc | 7315911195 | 9 |
| Banner Cancer Center Specialists Llc | 6103097779 | 343 |
| Banner - University Physician Specialists Llc | 5991008054 | 343 |
| Astra Healthcare Plc | 6406381425 | 5 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Entity Name | Yuma Cardiology Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538377247 PECOS PAC ID: 7315911195 Enrollment ID: O20040826000092 |
| Entity Name | Banner Alzheimers Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013966712 PECOS PAC ID: 8527070101 Enrollment ID: O20060623000043 |
| Entity Name | Banner Cancer Center Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
| Entity Name | Banner Physician Specialists Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821368218 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Entity Name | Banner Hospital Based Physicians Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Banner - University Hospital Based Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Banner - University Physician Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
| Entity Name | Banner Imaging Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770139958 PECOS PAC ID: 1850724386 Enrollment ID: O20191213001312 |
| Entity Name | Astra Healthcare PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316771991 PECOS PAC ID: 6406381425 Enrollment ID: O20241127000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Gamal F Sidarous, MD 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 Ph: (602) 239-4601 | Gamal F Sidarous, MD 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 Ph: (602) 239-4601 |