MEDICARE: MARGARET SIDIQUE

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
1	253Z00000X	In Home Supportive Care Agency	R4271	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194363309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET SIDIQUE

Provider Business Mailing Address
First Line	:	3115 FAIRLAND RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7120
Country	:	US
Telephone Number	:	240-704-1843
Fax Number	:	301-890-2983

Provider Business Practice Location Address
First Line	:	3115 FAIRLAND RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7120
Country	:	US
Telephone Number	:	240-704-1843
Fax Number	:	301-890-2983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2019
Last Update Date	:	12/18/2019

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Directions to “ MARGARET SIDIQUE ” Practice Location

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