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NPI Code Detail

MEDICARE: TAHA A SIDDIQUI MD

MEDICARE:   TAHA A SIDDIQUI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician1013610849NY

General Provider Information

NPI Number : 1013610849
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAHA A SIDDIQUI MD
Provider Business Mailing Address
First Line : 101 HOSPITAL RD
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-4870
Country : US
Telephone Number : 631-654-7100
Fax Number :
Provider Business Practice Location Address
First Line : 101 HOSPITAL RD
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-4870
Country : US
Telephone Number : 631-473-1320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2023
Last Update Date : 06/19/2026

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Directions to “ TAHA A SIDDIQUI MD” Practice Location

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