Asif Siddiqui, Omer
Asif Siddiqui, Omer is an individual health care provider with primary practice located at 1325 Eastmoreland Ave Ste 445 , Memphis TN 38104-7536. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Asif Siddiqui, Omer can be contacted via phone (901) 866-8810.Contact Information
Primary practice address
1325 Eastmoreland Ave Ste 445
Memphis TN 38104-7536
Phone: (901) 866-8810
Fax: (901) 302-2450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46512 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23721 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E6551 | Arkansas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 46512 | Tennessee |
Profile Details
| NPI number | 1659577278 |
|---|---|
| LBN Legal business name | Asif Siddiqui, Omer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Jan 29th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659577278 | NPPES |
| Arkansas | MEDICAID | 187456001 | |
| Arkansas | MEDICAID | 1524078 | |
| Arkansas | MEDICAID | 03001574 |
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