Sidra Kalsoom, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Toledo, Ohio. Her current practice location is
2409 Cherry St Ste 100, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 251-3700.
Sidra Kalsoom is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275103186.
Physician's Profile
Full Name | Sidra Kalsoom |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2409 Cherry St Ste 100, Toledo, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275103186
- Provider Enumeration Date: 07/01/2021
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688077134
- Enrollment ID: I20210721004244
Medical Identifiers
Medical identifiers for Sidra Kalsoom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275103186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MT222663 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sidra Kalsoom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sidra Kalsoom, MD 2213 Cherry St, Toledo, OH 43608-2603 Ph: (419) 251-3700 | Sidra Kalsoom, MD 2409 Cherry St Ste 100, Toledo, OH 43608-2670 Ph: (419) 251-3700 |
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