Individual
SOHAIB SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 MERCY LANE, 3RD FLOOR, CHEVERLY, MD 20785
(301) 851-5459
Mailing address
3421 ESCADA DRIVE, MISSISSAUGA, ONTARIO L5M 7-Y1
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18437
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD18437
STATE LICENSE
RI
Enumeration date
04/24/2019
Last updated
05/24/2022
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