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Contact Information

DOUGLAS M SIDES, MD
688 KINOOLE ST
SUITE 103
HILO, HI96720
 Phone: 808-935-1825
 Fax: 903-663-7394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for DOUGLAS M SIDES · (Male)

NPI # 1144228255
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2005
Last updated 11/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G76456
  • NV License # 10716
  • AZ Medicaid 905838
  • NV Medicaid 100502411
  • NV Other CC5535 BLUE
Hospital affiliation(s)
  • CLOVIS COMMUNITY MEDICAL CENTER - (Acute Care)
    2755 HERNDON AVE
    CLOVIS, CA 93611
  • COMMUNITY REGIONAL MEDICAL CENTER - (Acute Care)
    2823 FRESNO STREET
    FRESNO, CA 93715
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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