Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Rafik Sidaros, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962758698

Dr. Rafik Sidaros, MD is a Student in an Organized Health Care Education/Training Program in New Haven, Connecticut. Practices as a sole proprietor. Licensed in California and Connecticut.

Licensed in
CA, CT
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

34 Park St
New Haven, CT 06519-1109
Phone: (203) 974-7169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Forensic Psychiatry Physician (primary) Taxonomy 2084F0202X · Licence A173156 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Forensic Psychiatry Physician Taxonomy 2084F0202X · Licence 54819 (CT)

Record details

NPI number1962758698
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 31, 2012
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021
Mailing address2039 Forest Ave Ste 201, San Jose, CA 95128-4815

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