Individual
DR. MOHAMMAD T SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 N CENTRAL AVE, KISSIMMEE, FL 34741-4405
(407) 851-5600
(407) 438-0507
Mailing address
3885 OAKWATER CIR, ORLANDO, FL 32806-6257
(407) 851-5600
(407) 438-0507
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
17468
MS
207RN0300X
Nephrology Physician
Primary
ME98002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2191106
UNITED HEALTHCARE
FL
01
—
7280103
AETNA
FL
01
—
94661
BC/BS
FL
Enumeration date
06/12/2006
Last updated
09/28/2009
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