Individual
DR. ATIYA A SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6261
(608) 743-3214
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6261
(608) 743-3214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263886
NY
207R00000X
Internal Medicine Physician
60775-20
WI
208M00000X
Hospitalist Physician
Primary
60775-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356597421
BCBSWI
WI
05
—
1356597421
—
WI
01
—
SIDDIATI
MERCYCARE INSURANCE
WI
Enumeration date
08/08/2008
Last updated
01/11/2017
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