Individual
AWAIS SIDDIKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3177 4TH ST N, ST PETERSBURG, FL 33704-2124
(877) 585-2955
Mailing address
3177 4TH ST N, ST PETERSBURG, FL 33704-2124
(877) 585-2955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME118372
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
ME118372
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME118372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014307600
—
FL
Enumeration date
06/12/2008
Last updated
03/11/2026
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