Provider Demographics
NPI:1417267030
Name:SIDDIQI, RESHMA A (MD)
Entity Type:Individual
Prefix:DR
First Name:RESHMA
Middle Name:A
Last Name:SIDDIQI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16344 HEATHROW DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2641
Mailing Address - Country:US
Mailing Address - Phone:352-552-7832
Mailing Address - Fax:
Practice Address - Street 1:MEDICENTRES CLINIC, JUMEIRAH PARK PAVILLION
Practice Address - Street 2:JPV-RTL 12
Practice Address - City:DUBAI
Practice Address - State:UAE
Practice Address - Zip Code:42224
Practice Address - Country:AE
Practice Address - Phone:97155-147-4784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2016-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7750208000000X
NJ25MA08349300208000000X
FLME128160208000000X
ZZDHA-P-0053246208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics