Siddiqui, Ali H

Siddiqui, Ali H is an individual health care provider with primary practice located at 4805 S Moorland Rd Moorland Reserve, New Berlin WI 53151-7401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Siddiqui, Ali H can be contacted via phone (262) 798-7200.

Contact Information

Primary practice address
4805 S Moorland Rd Moorland Reserve New Berlin WI 53151-7401
Phone: (262) 798-7200
Fax: (262) 798-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 336082767 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 65022 Wisconsin

Profile Details

NPI number 1922210178
LBN Legal business name Siddiqui, Ali H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Feb 1st, 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 1922210178 NPPES
Illinois MEDICAID 0361214262
Illinois Other P00968583

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