Provider Demographics
NPI:1730296930
Name:SIDDIQI, AAMIR (MD)
Entity Type:Individual
Prefix:DR
First Name:AAMIR
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 1:8854 W CALLAWAY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-1981
Mailing Address - Country:US
Mailing Address - Phone:414-530-0179
Mailing Address - Fax:262-312-9095
Practice Address - Street 1:8854 W CALLAWAY CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-1981
Practice Address - Country:US
Practice Address - Phone:414-530-0179
Practice Address - Fax:262-312-9095
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI34883207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32141300Medicaid
WI32141300Medicaid
WI32141300Medicaid