Individual
SHAZIA MERAJ SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
770 PARK EAST BLVD, SUITE B, LAFAYETTE, IN 47905
(765) 714-4344
(765) 838-3200
Mailing address
PO BOX 5748, LAFAYETTE, IN 47903-5748
(765) 714-4344
(765) 838-3200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01059790A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01059790A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201148960
—
IN
Enumeration date
07/09/2006
Last updated
09/26/2025
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