Provider Demographics
NPI:1578717146
Name:SIKAND, BENO (MD)
Entity Type:Individual
Prefix:DR
First Name:BENO
Middle Name:
Last Name:SIKAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 E WARNER RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-3082
Mailing Address - Country:US
Mailing Address - Phone:480-649-6640
Mailing Address - Fax:480-649-6700
Practice Address - Street 1:155 E WARNER RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3082
Practice Address - Country:US
Practice Address - Phone:480-649-6640
Practice Address - Fax:480-649-6700
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036081569207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INE69676Medicare UPIN