Provider Demographics
NPI:1205017647
Name:MICHAEL P SIROPAIDES, MD
Entity Type:Organization
Organization Name:MICHAEL P SIROPAIDES, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MNGR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIROPAIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-592-4200
Mailing Address - Street 1:401 E CROCKETT ST STE A
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4030
Mailing Address - Country:US
Mailing Address - Phone:281-592-4200
Mailing Address - Fax:281-593-1651
Practice Address - Street 1:401 E CROCKETT ST STE A
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4030
Practice Address - Country:US
Practice Address - Phone:281-592-4200
Practice Address - Fax:281-593-1651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0081CCMedicare PIN
TXB26479Medicare UPIN