Siddiqui, Ata U.

Siddiqui, Ata U. is an individual health care provider with primary practice located at 1 Saint Elizabeth Blvd , O Fallon IL 62269-1099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Siddiqui, Ata U. can be contacted via phone (618) 234-2120.

Contact Information

Primary practice address

1 Saint Elizabeth Blvd O Fallon IL 62269-1099

Phone: (618) 234-2120

Fax: (618) 541-5810

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Anesthesiology	207L00000X	N4099	Texas
Allopathic & Osteopathic Physicians / Anesthesiology	207L00000X	107869	Missouri
Allopathic & Osteopathic Physicians / Anesthesiology	207L00000X	036-094419	Illinois

Profile Details

NPI number	1043206618
LBN Legal business name	Siddiqui, Ata U.
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Sep 20th, 2005
Last updated	Nov 16th, 2021 - about 5 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

State	Type	Number	Issuer
All States	NPI	1043206618	NPPES
Missouri	MEDICAID	203941224

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