Siddiqui, Shoaib
Siddiqui, Shoaib is an sole proprietor health care provider with primary practice located at 102 Park Place Blvd. Bldg. D Suite 3, Kissimmee FL 34741-4213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Siddiqui, Shoaib can be contacted via phone (407) 944-4900.Contact Information
Primary practice address
102 Park Place Blvd. Bldg. D Suite 3
Kissimmee FL 34741-4213
Phone: (407) 944-4900
Fax: (407) 483-0688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME75997 | Florida |
Profile Details
| NPI number | 1609079649 |
|---|---|
| LBN Legal business name | Siddiqui, Shoaib |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Nov 13th, 2017 - about 9 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 | 1609079649 | NPPES |
| Florida | Other | 166307 | WELLCARE |
| Florida | MEDICAID | 258319400 | WELLCARE |
| Florida | Other | 49824 | WELLCARE |
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