Siddiqui, Imran A

Siddiqui, Imran A is an individual health care provider with primary practice located at 1400 S Orange Ave , Orlando FL 32806-2134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Siddiqui, Imran A can be contacted via phone (321) 842-9097.

Contact Information

Primary practice address
1400 S Orange Ave Orlando FL 32806-2134
Phone: (321) 842-9097
Fax: (321) 841-1296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 056653 Connecticut
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X U7275 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X ME165255 Florida

Profile Details

NPI number 1235389875
LBN Legal business name Siddiqui, Imran A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2008
Last updated Dec 8th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235389875 NPPES
South Carolina MEDICAID NC2426
South Carolina MEDICAID 1235389875
South Carolina MEDICAID 120207600

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