Provider Demographics
NPI:1780806117
Name:SIEGA, CACILDA MARIA FARIA (MD)
Entity type:Individual
Prefix:DR
First Name:CACILDA
Middle Name:MARIA FARIA
Last Name:SIEGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CACILDA
Other - Middle Name:MARIA DE SANTANA
Other - Last Name:FARIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1240 TANGLEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38114-6741
Mailing Address - Country:US
Mailing Address - Phone:901-454-6952
Mailing Address - Fax:
Practice Address - Street 1:50 N DUNLAP ST
Practice Address - Street 2:PEDIATRIC EMERGENCY SPECIALISTS PC
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2800
Practice Address - Country:US
Practice Address - Phone:901-405-1407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN439422080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine