Siraj, Sanya

Siraj, Sanya is an individual health care provider with primary practice located at 8201 E Riverside Blvd , Rockford IL 61114-2300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Siraj, Sanya can be contacted via phone (815) 971-4066.

Contact Information

Primary practice address
8201 E Riverside Blvd Rockford IL 61114-2300
Phone: (815) 971-4066
Fax: (815) 971-9299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.095122 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036134171 Illinois

Profile Details

NPI number 1356554075
LBN Legal business name Siraj, Sanya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jun 28th, 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

StateTypeNumberIssuer
All States NPI 1356554075 NPPES
Illinois MEDICAID 036134171
Illinois MEDICAID 3111215

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