Siddhartha Patrick Dash, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Paulding, OH

NPI 1700516267 · NPPES record last updated Sep 8, 2026

Key facts

NPI
1700516267
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1035 W Wayne St
Paulding, OH 45879-9235
Phone
(419) 399-4080
NPI assigned
Jun 16, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220805002883 OH Order and Referring Only - General Surgery
Practitioner - General Surgery
8820470925

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1035 W Wayne St
Paulding, OH 45879-9235

Mailing address

1035 W Wayne St
Paulding, OH 45879-9235
Phone (419) 399-4080

Other providers in Paulding, OH

All providers in Paulding, OH · Student in an Organized Health Care Education/Training Program in Ohio

Sources for this page

Verify at the official NPI Registry.