Provider Demographics
NPI:1154680064
Name:SIHA, VICTOR LABIB (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:LABIB
Last Name:SIHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 SPRING BLOSSOM CIR
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1122
Mailing Address - Country:US
Mailing Address - Phone:724-384-8747
Mailing Address - Fax:
Practice Address - Street 1:114 SPRING BLOSSOM CIR
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-1122
Practice Address - Country:US
Practice Address - Phone:724-384-8747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033546L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine