Provider Demographics
NPI:1790429926
Name:NEELAM SIDDIQ THOMAS PLC
Entity type:Organization
Organization Name:NEELAM SIDDIQ THOMAS PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:
Authorized Official - First Name:NEELAM
Authorized Official - Middle Name:SIDDIQ
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:515-209-5009
Mailing Address - Street 1:531 COMMERCIAL ST STE 700
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-5443
Mailing Address - Country:US
Mailing Address - Phone:515-209-5009
Mailing Address - Fax:319-540-8059
Practice Address - Street 1:531 COMMERCIAL ST STE 700
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-5443
Practice Address - Country:US
Practice Address - Phone:515-209-5009
Practice Address - Fax:319-253-3954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty