Siddiqui, Mohammed Abdul Raoof
Siddiqui, Mohammed Abdul Raoof is an individual health care provider with primary practice located at 13 W Us Highway 30 , Schererville IN 46375-2266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Siddiqui, Mohammed Abdul Raoof can be contacted via phone (219) 865-0918.Contact Information
Primary practice address
13 W Us Highway 30
Schererville IN 46375-2266
Phone: (219) 865-0918
Fax: (219) 864-8332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01041447 | Indiana |
Profile Details
| NPI number | 1962598086 |
|---|---|
| LBN Legal business name | Siddiqui, Mohammed Abdul Raoof |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Mar 17th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962598086 | NPPES |
| Indiana | MEDICAID | 100356480D |
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