# MOHAMMED Z SIDDIQUI MEDICAL CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154730414
- **Authorized official:** DR. MOHAMMED ZAHID SIDDIQUI M.D (PHYSICIAN)
- **Authorized official phone:** (314) 330-0171

## Contact information

- **Practice address:** 10 OVERBROOK DR, SAINT LOUIS, MO 63124-1482
- **Practice address phone:** (314) 330-0171
- **Mailing address:** 1313 CAMP JACKSON RD, CAHOKIA, IL 62206-2202
- **Mailing address phone:** (618) 332-0900
- **Mailing address fax:** (618) 332-0943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036-097325 | IL | Yes |

## Other

- **Enumeration date:** 08/11/2014
- **Last updated:** 08/11/2014