Provider Demographics
NPI:1063657591
Name:SIDDIQUI, MAJEED (MD; FACRRM; DCN;)
Entity Type:Individual
Prefix:DR
First Name:MAJEED
Middle Name:
Last Name:SIDDIQUI
Suffix:
Gender:M
Credentials:MD; FACRRM; DCN;
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 ALBERTA DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1302
Mailing Address - Country:US
Mailing Address - Phone:201-486-5573
Mailing Address - Fax:
Practice Address - Street 1:155 LAWN AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-1816
Practice Address - Country:US
Practice Address - Phone:716-875-2904
Practice Address - Fax:716-332-0917
Is Sole Proprietor?:No
Enumeration Date:2008-12-12
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250773207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine