Provider Demographics
NPI:1417117532
Name:PARKER, SIDDHARTHA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:SIDDHARTHA
Middle Name:Y
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:DHMC DEPARTMENT OF GASTROENTEROLOGY
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-650-5261
Mailing Address - Fax:603-650-5225
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DHMC DEPARTMENT OF GASTROENTEROLOGY
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-5261
Practice Address - Fax:603-650-5225
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2016-05-02
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Provider Licenses
StateLicense IDTaxonomies
NH16649207RG0100X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine