Siddiqui, Shazia Meraj

Siddiqui, Shazia Meraj is an individual health care provider with primary practice located at 770 Park East Blvd Suite B, Lafayette IN 47905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Siddiqui, Shazia Meraj can be contacted via phone (765) 714-4344.

Contact Information

Primary practice address
770 Park East Blvd Suite B Lafayette IN 47905
Fax: (765) 838-3200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01059790A Indiana

Profile Details

NPI number 1629001680
LBN Legal business name Siddiqui, Shazia Meraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Sep 9th, 2020 - about 6 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 1629001680 NPPES
Indiana MEDICAID 201148960

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