Provider Demographics
NPI:1255134987
Name:SIDDIQUI, ARHAM MOHD (DO)
Entity type:Individual
Prefix:DR
First Name:ARHAM
Middle Name:MOHD
Last Name:SIDDIQUI
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E. APPLE ST.
Mailing Address - Street 2:6TH FLOOR MAGNOLIA PLACE
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2939
Mailing Address - Country:US
Mailing Address - Phone:937-208-2004
Mailing Address - Fax:
Practice Address - Street 1:30 E APPLE ST FL 6
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2932
Practice Address - Country:US
Practice Address - Phone:937-208-2004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program