Healthcare Provider Details

I. General information

NPI: 1265483820
Provider Name (Legal Business Name): FAISAL A SIDDIQUI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8525 ROLLING RD SUITE 200
MANASSAS VA
20110-3647
US

IV. Provider business mailing address

PO BOX 37174
BALTIMORE MD
21297-3174
US

V. Phone/Fax

Practice location:
  • Phone: 703-257-2266
  • Fax: 703-257-2269
Mailing address:
  • Phone: 571-472-6253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101237932
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number0101237932
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: