SHANAZ SIKDER


Address: 403 S 11th St Ste 100, Boise, ID 83702
Phone: 2084290300

SHANAZ SIKDER (NPI# 1083980734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083980734
Entity Type Individual
Full Name SHANAZ SIKDER
Credential MD
Practice Address 403 S 11th St Ste 100
Boise
ID 83702
Mailing Address 403 S 11th St Ste 100
Boise
ID 83702-6968
Practice Telephone 2084290300
Enumeration Date 2012-03-27
Last Update Date 2018-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine M-14200 ID Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
M-14200 ID Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2351 Clay St, Suite 380, San Francisco, CA 941151931 4156003954

Office Location

Street Address 403 S 11TH ST STE 100
City BOISE
State ID
Zip Code 83702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114303039 Nadine B Carter Nurse Practitioner 403 S 11th St Ste 100, Boise, ID 83702-6968 2015-08-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
Find all providers in zip 83702

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720068760 Irinel N Stanciu Internal Medicine 403 S 11th St, Ste 100, Boise, ID 83702-6969 2006-01-17
1801113329 St Luke's Regional Medical Center Internal Medicine 403 S 11th St, Ste 100, Boise, ID 83702-6969 2010-04-23
1518165984 Idaho Endocrinology, Pllc Internal Medicine 403 S 11th St, Suite 100, Boise, ID 83702-6968 2007-07-06
1659414399 Richard B. Christensen, M.d. Internal Medicine 403 S 11th St, Suite 100, Boise, ID 83702-6968 2007-02-14
1255489746 Gihan E. Dawood Internal Medicine 403 S 11th St, Suite 100, Boise, ID 83702-6969 2007-01-08
1417967696 Treasure Valley Endocrinology PC Internal Medicine 900 N Liberty St Ste 201, Boise, ID 83704-8707 2006-08-09
1104836303 Julie A. Foote Internal Medicine 900 N Liberty St Ste 201, Boise, ID 83704-8707 2006-08-09
1346272127 Richard B Christensen Internal Medicine 403 South 11th St, Ste 100, Boise, ID 83702-6906 2006-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144783499 Mountain States Diabetes Relief, LLC Internal Medicine 4573 E Majestic, Idaho Falls, ID 83406 2019-04-12
1679968051 Michael Dee Holyoak Internal Medicine 520 S Eagle Rd Ste 1234, Meridian, ID 83642-6355 2015-04-01
1902143134 Ennis Endocrinology, Pllc Internal Medicine 2450 E Gala St Ste 100, Meridian, ID 83642-4805 2013-01-08
1366647729 Robert F. Ennis Internal Medicine 1626 Wells Ave, Suite 105, Meridian, ID 83642-4524 2007-06-18
1003881970 Lynn Ge-zerbe Internal Medicine 1759 S Millenium Way, Meridian, ID 83642-1505 2006-02-22
1619977600 John E Liljenquist Internal Medicine 2220 E 25th St, Idaho Falls, ID 83404-7542 2005-07-30
1437159423 Carl D Vance Internal Medicine 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 2005-07-30
1285142943 Selkirk Endocrinology, Pllc Internal Medicine 1125 E Polston Ave Ste B, Post Falls, ID 83854-6045 2018-01-16
1336220243 Rocky Mountain Diabetes and Osteoporosis Center Pa Internal Medicine 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 2006-10-18
1114961190 Maria R Rodebaugh Internal Medicine 1919 Lincoln Way, 211, Coeur D Alene, ID 83814-2527 2006-06-16
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Competitor

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City BOISE
Zip Code 83702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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