Healthcare Provider Details

I. General information

NPI: 1447484167
Provider Name (Legal Business Name): ARMAN H SIDDIQUI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2009
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7165 CLEARVISTA WAY
INDIANAPOLIS IN
46256-4621
US

IV. Provider business mailing address

6626 E 75TH STREET STE 500
INDIANAPOLIS IN
46256
US

V. Phone/Fax

Practice location:
  • Phone: 317-621-5719
  • Fax:
Mailing address:
  • Phone: 317-621-7561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number01066524A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: