Siddiqi, Israr Azim

Siddiqi, Israr Azim is an sole proprietor health care provider with primary practice located at 525 W Bristol St , Elkhart IN 46514-2964. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Siddiqi, Israr Azim can be contacted via phone (574) 262-0329.

Contact Information

Primary practice address
525 W Bristol St Elkhart IN 46514-2964
Phone: (574) 262-0329
Fax: (574) 295-5922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01058354A Indiana
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 01058354A Indiana

Profile Details

NPI number 1346289501
LBN Legal business name Siddiqi, Israr Azim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated May 1st, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346289501 NPPES
Indiana MEDICAID 200466160

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