Individual
MONA SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9434
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 583-2926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
121346
DC
207R00000X
Internal Medicine Physician
Primary
D72783
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049035100
—
MD
Enumeration date
10/21/2008
Last updated
01/30/2013
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