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Contact Information

KAMLESH J SISODIYA, MD
5400 STATE HIGHWAY 121 STE 100
COLLEYVILLE, TX76034-5929
 Phone: 817-479-1500
 Fax: 817-479-1504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for KAMLESH J SISODIYA · (Male)

NPI Number 1003893397
Status Active
Credentials MD
Entity Individual
Enumeration date 12/28/2005
Last updated 06/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # K1931
  • TX Medicaid 127663610
  • TX Other 8EL145 BCBS
  • TX Other P01356074 RR
Hospital affiliation(s) Not Available
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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