Provider Demographics
NPI:1942383328
Name:SIDDIQUI, ANILA CHAUDHRY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANILA
Middle Name:CHAUDHRY
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANILA
Other - Middle Name:RIAZ
Other - Last Name:CHAUDHRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1221 MERCANTILE LN
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5374
Mailing Address - Country:US
Mailing Address - Phone:703-380-0300
Mailing Address - Fax:
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW
Practice Address - Street 2:SUITE 1-200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-2283
Practice Address - Fax:202-741-2285
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA026435207R00000X
DCMD036567207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1065102Medicaid