Provider Demographics
NPI:1437779519
Name:SIDDIQUI, AMNA AMAD (MBBS, MD)
Entity Type:Individual
Prefix:DR
First Name:AMNA
Middle Name:AMAD
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 S. FIRST AVENUE, LOYOLA UNIVERSITY MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153
Mailing Address - Country:US
Mailing Address - Phone:708-216-2687
Mailing Address - Fax:
Practice Address - Street 1:2160 S. FIRST AVENUE, LOYOLA UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153
Practice Address - Country:US
Practice Address - Phone:708-216-2687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program