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NPI Code Detail

MEDICARE: DR. ADEEL MOHAMMAD SIDDIQUI M.D.

MEDICARE: DR. ADEEL MOHAMMAD SIDDIQUI M.D.
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
1207R00000XInternal Medicine Physician200000136NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609812338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADEEL MOHAMMAD SIDDIQUI M.D.
Provider Business Mailing Address
First Line : PO BOX 18563
Second Line :
City : RALEIGH
State : NC
Zip : 27619-8563
Country : US
Telephone Number : 919-782-1806
Fax Number : 919-782-4756
Provider Business Practice Location Address
First Line : 3700 BARRETT DR STE 300
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7172
Country : US
Telephone Number : 919-782-1806
Fax Number : 919-782-4756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 05/19/2026

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