Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME110342 | FL |
Y | 2080P0203X | Pediatric Critical Care Doctor | ME110342 | FL |
NPI | 1003072760 |
---|---|
Provider Name | Dr. Mahreen A Siddiqui |
First Address | Sunrise, FL 33323-3009 |
Second Address | Sunrise, FL 33323-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2008 |
Last Update Date | 01/12/2015 |