Individual
SABA SIDDIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9106 PHILADELPHIA RD, SUITE 204, BALTIMORE, MD 21237-4329
(410) 687-8777
(410) 687-1756
Mailing address
PO BOX 426, RIDERWOOD, MD 21139-0426
(410) 687-8777
(410) 687-1756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0041496
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306371200
—
MD
Enumeration date
09/26/2006
Last updated
07/08/2007
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