Provider Demographics
NPI:1427187020
Name:SIDDIQI, NAUMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NAUMAN
Middle Name:
Last Name:SIDDIQI
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 1:38135 MARKET SQ
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-7505
Mailing Address - Country:US
Mailing Address - Phone:352-567-0188
Mailing Address - Fax:
Practice Address - Street 1:36763 EILAND BLVD STE 103
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-0600
Practice Address - Country:US
Practice Address - Phone:813-782-3727
Practice Address - Fax:813-355-5051
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI41851207RN0300X
FLME120971207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000810207746OtherPHCS
WI1454656OtherUHC
04663696OtherECFMG
WI34075600Medicaid
WICR0279OtherRAILROAD MEDICARE
WICR0279OtherRAILROAD MEDICARE
WI34075600Medicaid