Individual
FAREED SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
(612) 273-8459
Mailing address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
(612) 273-8459
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
47775
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144551
—
MT
05
—
014954300
—
MN
05
—
0596098
—
IA
01
—
1044143
PREFERRED ONE
MN
01
—
132873
UCARE
MN
01
—
16-02032
MEDICA PRIMARY
MN
01
—
16-03684
MEDICA CHOICE
MN
01
—
2366353
ARAZ
MN
05
—
34666500
—
WI
01
—
617T4SI
BCBS
MN
01
—
B703
CHAMPUS
MN
01
—
HP52812
HEALTH PARTNERS
MN
Enumeration date
09/20/2006
Last updated
10/15/2024
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