Provider Demographics
NPI:1093954802
Name:YADAV, SIDHARTH SINGH (DO)
Entity Type:Individual
Prefix:DR
First Name:SIDHARTH
Middle Name:SINGH
Last Name:YADAV
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 HILTON AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-8115
Mailing Address - Country:US
Mailing Address - Phone:516-483-6440
Mailing Address - Fax:516-483-6439
Practice Address - Street 1:230 HILTON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-8115
Practice Address - Country:US
Practice Address - Phone:516-483-6440
Practice Address - Fax:516-483-6439
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251309207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology