Individual
ADEEL MOHAMMAD SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W COLUMBIA ST STE 310, EVANSVILLE, IN 47710-1782
(812) 450-8600
(812) 450-8151
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015-01561
NC
207RC0000X
Cardiovascular Disease Physician
2015-01561
NC
207RI0011X
Interventional Cardiology Physician
Primary
01083420A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720345929
—
NC
01
—
19DQK
BCBS NC
NC
Enumeration date
04/12/2012
Last updated
08/19/2020
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