Provider Demographics
NPI:1790715035
Name:SIROPAIDES, MICHAEL PERICLES I (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PERICLES
Last Name:SIROPAIDES
Suffix:I
Gender:M
Credentials:MD
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Mailing Address - Street 1:18980 W MEMORIAL DR
Mailing Address - Street 2:STE 100
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4394
Mailing Address - Country:US
Mailing Address - Phone:832-644-8930
Mailing Address - Fax:855-227-3506
Practice Address - Street 1:18980 W. MEMORIAL DR.
Practice Address - Street 2:SUITE 100
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346
Practice Address - Country:US
Practice Address - Phone:832-644-8930
Practice Address - Fax:855-227-3506
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2022-10-17
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Provider Licenses
StateLicense IDTaxonomies
TXH5065207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX619368YMDKOtherMEDICARE
TX127724604Medicaid
TX8L15165Medicare PIN