Siddiqui, Shahab Z

Siddiqui, Shahab Z is an individual health care provider with primary practice located at 324 E Antietam St Ste 305 , Hagerstown MD 21740-5768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Siddiqui, Shahab Z can be contacted via phone (301) 791-2510.

Contact Information

Primary practice address
324 E Antietam St Ste 305 Hagerstown MD 21740-5768
Phone: (301) 791-2510
Fax: (301) 739-7798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X D45031 Maryland

Profile Details

NPI number 1962448902
LBN Legal business name Siddiqui, Shahab Z
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Oct 4th, 2012 - about 13 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 1962448902 NPPES
Maryland MEDICAID 044221600

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