Siddiqui, Rehana
Siddiqui, Rehana is an sole proprietor health care provider with primary practice located at 1690 Dunlawton Av, Ste 120 , Port Orange FL 32127-8980. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Siddiqui, Rehana can be contacted via phone (386) 271-2273.Contact Information
Primary practice address
1690 Dunlawton Av, Ste 120
Port Orange FL 32127-8980
Phone: (386) 271-2273
Fax: (386) 271-2274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME43695 | Florida |
Profile Details
| NPI number | 1912964040 |
|---|---|
| LBN Legal business name | Siddiqui, Rehana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912964040 | NPPES |
| Florida | MEDICAID | 046702200 |
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