Organization
SHAHIDA SIDDIQI MD PA
Active
Other names
Eldersburg Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHIDA SIDDIQI M.D. (PHYSICIAN)
(410) 549-2890
Entity
Organization
Contact information
Practice address
6212 SYKESVILLE RD, SYKESVILLE, MD 21784-7909
(410) 549-2890
(410) 549-2891
Mailing address
6212 SYKESVILLE RD, SYKESVILLE, MD 21784-7909
(410) 549-2890
(410) 549-2891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D30119
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087570800
—
MD
Enumeration date
10/03/2008
Last updated
10/03/2008
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