Individual
ASMA A SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 N SENATE BLVD, STE 230, INDIANAPOLIS, IN 46202-1228
(317) 962-5820
(317) 962-3916
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01071023A
IN
207R00000X
Internal Medicine Physician
24106
OK
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01071023A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200037120A
—
OK
05
—
201065840
—
IN
01
—
248430301
MEDICARE ID
OK
01
—
347459107
DOL
OK
01
—
7735593
AETNA
OK
Enumeration date
09/21/2005
Last updated
03/11/2025
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