Individual
AISHA SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2405 W LEXINGTON AVE, ELKHART, IN 46514-1417
(574) 524-7575
(574) 524-7576
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01080953A
IN
207V00000X
Obstetrics & Gynecology Physician
036121215
IL
207V00000X
Obstetrics & Gynecology Physician
D0076679
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121215
—
IL
05
—
300020489
—
IN
Enumeration date
05/23/2007
Last updated
04/15/2025
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