Healthcare Provider Details

I. General information

NPI: 1194988279
Provider Name (Legal Business Name): FARAH N SIDDIQUI D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW SUITE G-406
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW STE 600
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2489
  • Fax: 202-741-2490
Mailing address:
  • Phone: 202-741-3191
  • Fax: 202-741-2340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0103301374
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: