Provider Demographics
NPI:1942939558
Name:CAMERON SIKAVI MD INC.
Entity Type:Organization
Organization Name:CAMERON SIKAVI MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKAVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-614-3897
Mailing Address - Street 1:10445 WILSHIRE BLVD APT 202
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4639
Mailing Address - Country:US
Mailing Address - Phone:310-614-3897
Mailing Address - Fax:
Practice Address - Street 1:8631 W 3RD ST STE 1015E
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5913
Practice Address - Country:US
Practice Address - Phone:310-614-3897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty