Individual
TASNEEM SIDDIQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6002 E 38TH ST, INDIANAPOLIS, IN 46226-5614
(317) 880-6002
(317) 880-0417
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
(317) 880-0343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01079021A
IN
207R00000X
Internal Medicine Physician
125058089
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005364
—
IN
Enumeration date
07/21/2010
Last updated
04/08/2026
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