Individual
DR. ISRAR AZIM SIDDIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 W BRISTOL ST, ELKHART, IN 46514-2964
(574) 262-0329
(574) 295-5922
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(547) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01058354A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
01058354A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200466160
—
IN
Enumeration date
06/05/2006
Last updated
09/24/2025
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