Individual
YUSUF SIDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
126 ENCLAVE DR # 106, SEVEN FIELDS, PA 16046-7900
(724) 939-6712
(724) 939-6712
Mailing address
126 ENCLAVE DR # 106, SEVEN FIELDS, PA 16046-7900
(724) 939-6712
(724) 939-6712
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD065152L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000538591
HIGHMARK
PA
05
—
0018183620001
—
PA
Enumeration date
07/23/2006
Last updated
09/02/2022
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