Provider Demographics
NPI:1326572389
Name:SIDDIQUI, AHMED ABDUL (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:ABDUL
Last Name:SIDDIQUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 TULANE AVENUE
Mailing Address - Street 2:#8448
Mailing Address - City:NEW ORELANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-4272
Mailing Address - Fax:
Practice Address - Street 1:1440 TULANE AVENUE
Practice Address - Street 2:#8448
Practice Address - City:NEW ORELANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-4272
Practice Address - Fax:504-988-1665
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
LA3231592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program