Siddiqui, Shoaib

Siddiqui, Shoaib is an sole proprietor health care provider with primary practice located at 102 Park Place Blvd. Bldg. D Suite 3, Kissimmee FL 34741-4213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Siddiqui, Shoaib can be contacted via phone (407) 944-4900.

Contact Information

Primary practice address
102 Park Place Blvd. Bldg. D Suite 3 Kissimmee FL 34741-4213
Fax: (407) 483-0688
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME75997 Florida

Profile Details

NPI number 1609079649
LBN Legal business name Siddiqui, Shoaib
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2007
Last updated Nov 13th, 2017 - about 8 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 1609079649 NPPES
Florida Other 166307 WELLCARE
Florida MEDICAID 258319400 WELLCARE
Florida Other 49824 WELLCARE

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