=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518894294
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARTE MEDICAL CA, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/06/2026
-----------------------------------------------------
Last Update Date | 05/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7950 JONES BRANCH DR
-----------------------------------------------------
City | MC LEAN
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22102-3265
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-897-4232
-----------------------------------------------------
Fax | 571-384-4996
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11110 SUNSET HILLS RD UNIT 2112
-----------------------------------------------------
City | RESTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20190-9997
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-430-0557
-----------------------------------------------------
Fax | 571-384-4996
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | GINA SIDDIQUI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 203-430-0557
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207P00000X
-----------------------------------------------------
Taxonomy Name | Emergency Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------