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NPI Code Detail

MEDICARE: SHAMME SIDDIKA

MEDICARE: SHAMME SIDDIKA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistNY

General Provider Information

NPI Number : 1447710801
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMME SIDDIKA
Provider Business Mailing Address
First Line : 2105 JEROME AVE
Second Line :
City : BRONX
State : NY
Zip : 10453-2271
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2251 2ND AVE # 2
Second Line :
City : NEW YORK
State : NY
Zip : 10029-2271
Country : US
Telephone Number : 646-991-8761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2019
Last Update Date : 03/12/2021

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Directions to “ SHAMME SIDDIKA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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