Siddiqui, Mohammad M

Siddiqui, Mohammad M is an individual health care provider with primary practice located at 479 Washington St , Holliston MA 01746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Siddiqui, Mohammad M can be contacted via phone (508) 429-2377.

Contact Information

Primary practice address
479 Washington St Holliston MA 01746
Fax: (508) 429-2607
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 71839 Massachusetts

Profile Details

NPI number 1235190315
LBN Legal business name Siddiqui, Mohammad M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1235190315 NPPES
Massachusetts MEDICAID 2059657

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