MEDICARE: GULF COAST CHILDREN'S CLINIC, PA

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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1750571170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULF COAST CHILDREN'S CLINIC, PA

Provider Business Mailing Address
First Line	:	3650 GROVELAND RD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5753
Country	:	US
Telephone Number	:	228-875-0780
Fax Number	:	228-875-1009

Provider Business Practice Location Address
First Line	:	3650 GROVELAND RD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5753
Country	:	US
Telephone Number	:	228-875-0780
Fax Number	:	228-875-1009

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OBAID A SIDDIQUI
Credential	:	M.D.
Telephone Number	:	228-875-0780

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	09/04/2014

Similar Medicare Providers

1952366080 — TIJUANA LISETTE FREEMAN M.D.
Practice Location Address:

3650 GROVELAND RD
OCEAN SPRINGS, MS
39564-5753

Practice Phone: 228-875-0780
Practice Fax: 228-875-1009

1972549251 — OBAID A SIDDIQUI M.D.
Practice Location Address:

3650 GROVELAND RD
OCEAN SPRINGS, MS
39564-5753

Practice Phone: 228-875-0780
Practice Fax: 228-875-1009

1427591841 — OPTIMUM HEALTH CARE SOLUTIONS
Practice Location Address:

3589 S OCEAN BLVD , #107
SOUTH PALM BEACH, FL
33480-5753

Practice Phone: 215-527-5094
Practice Fax:

1578791364 — MS. JUDY RUTH LOWELL MED, CCC-SLP
Practice Location Address:

5753 NW 125TH AVE
CORAL SPRINGS, FL
33076-3471

Practice Phone: 954-778-1126
Practice Fax:

1528576816 — ELEMENT HOME CARE LLC
Practice Location Address:

8145 CANDLEFLOWER CIR
COLORADO SPRINGS, CO
80920-5753

Practice Phone: 719-900-8820
Practice Fax: 855-275-5715

1427148667 — EDWARD FLOYD ALDRIDGE III M.D.
Practice Location Address:

3091 BIENVILLE BLVD.
OCEAN SPRINGS, MS
39564

Practice Phone: 228-818-5155
Practice Fax: 228-818-5159

Directions to “GULF COAST CHILDREN'S CLINIC, PA ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.