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Sid Korsand

Pediatrics

Allopathic & Osteopathic Physicians

3020 Children'S Way, Rady Children'S Hospital, San Diego, CA 92123-1234

PECOS Enrollment

Based on the most recent information from CMS, provider Sid Korsand is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1588634513
Provider Type
Individual
Full Name
Korsand, Sid
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/24/2006
Last Updated
12/2/2015

Contact Information

Practice Location

3020 Children'S Way, Rady Children'S Hospital, San Diego, CA 92123-1234

(858) 268-0702

Unlisted Fax

Mailing Location

3020 Children'S Way, Rady Children'S Hospital, San Diego, CA 92123-1234

(858) 966-8036

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A49591 California

Sid Korsand

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Burns, Jane Cary

Rothman, Joshua Marc

Boies, Eyla G.

Adjan, Roula Soufi

Rose, Olga D.

Rhee, Kyung E

Katheria, Anup

Di Enno, Lisa Renee

Kubal, Gargi

Jones, Kenneth Lyons