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

Evgeny Vadimovich Sidorov, MD

Individual provider Vascular Neurology Physician · NPI 1417098880

Evgeny Vadimovich Sidorov, MD is a Neurology in Oklahoma City, Oklahoma. Qualified in 1997, 29 years ago. Practices with Ou Health Partners Inc, a 1,167-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
29
Licensed in
OK
In the registry since
2007
Specialties on file
2
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

920 Stanton L Young Blvd Ste 2040
Oklahoma City, OK 73104-5036
Phone: (405) 271-4113
Fax: (405) 271-5723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Neurology Physician (primary) Taxonomy 2084V0102X · Licence 24894 (OK)
Neurology Physician Taxonomy 2084N0400X · Licence 24894 (OK)

Record details

NPI number1417098880
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Ou Health Partners Inc — 1167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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