Healthcare Provider Details

I. General information

NPI: 1033381546
Provider Name (Legal Business Name): NAUMAN SIDDIQI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 QUARRY LAKE DR STE 240
BALTIMORE MD
21209-3769
US

IV. Provider business mailing address

2700 QUARRY LAKE DR STE 240
BALTIMORE MD
21209-3769
US

V. Phone/Fax

Practice location:
  • Phone: 410-367-2590
  • Fax: 410-367-2596
Mailing address:
  • Phone: 410-367-2590
  • Fax: 410-367-2596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA102498
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberP3076
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: