Individual
DR. MUHAMMAD MANNAN SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9450 INNOVATION DR, MANASSAS, VA 20110-2214
(571) 350-8400
(571) 222-2202
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(703) 724-7503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101245312
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0101245312
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093953168
—
VA
Enumeration date
01/28/2009
Last updated
11/12/2025
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