Provider Demographics
NPI:1265676910
Name:SIDANI, CHARIF (MD,)
Entity Type:Individual
Prefix:DR
First Name:CHARIF
Middle Name:
Last Name:SIDANI
Suffix:
Gender:M
Credentials:MD,
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Mailing Address - Street 1:1400 NW 10TH AVE
Mailing Address - Street 2:APT 1512
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1000
Mailing Address - Country:US
Mailing Address - Phone:305-910-8258
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:JACKSON MEMORIAL HOSPITAL. WW 279
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-8178
Practice Address - Fax:305-585-5743
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2010-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL16592085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology