Siddique, Mahmood

Siddique, Mahmood is an individual health care provider with primary practice located at 7600 Central Ave , Philadelphia PA 19111-2442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Siddique, Mahmood can be contacted via phone (215) 728-3714.

Contact Information

Primary practice address
7600 Central Ave Philadelphia PA 19111-2442
Phone: (215) 728-3714
Fax: (215) 728-3923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD055412L Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD055412L Pennsylvania

Profile Details

NPI number 1235114059
LBN Legal business name Siddique, Mahmood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Feb 9th, 2016 - about 10 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 1235114059 NPPES
Pennsylvania MEDICAID 0015575330002

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