Provider Demographics
NPI:1649371493
Name:SIDDIQUI, AFREEN (MD)
Entity type:Individual
Prefix:DR
First Name:AFREEN
Middle Name:
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DARL CT
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1129
Mailing Address - Country:US
Mailing Address - Phone:401-884-7107
Mailing Address - Fax:
Practice Address - Street 1:935 JEFFERSON BLVD
Practice Address - Street 2:SUITE 1002
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2225
Practice Address - Country:US
Practice Address - Phone:401-490-7530
Practice Address - Fax:401-490-7533
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237374207LP2900X, 207L00000X
RIMD10820207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7009918Medicaid
RI7009918Medicaid