Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME108340 | FL |
NPI | 1033317250 |
---|---|
Provider Name | Dr. Munira D Siddiqui |
First Address | Clearwater, FL 33757-8744 |
Second Address | Safety Harbor, FL 34695-6602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2007 |
Last Update Date | 19/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003145000 | (05) | FL |
P01061452 | MEDICARE RAILROAD PROVIDER NUMBER (01) | FL |