MEDICARE: FARHAN SIDDIQI, MD PA

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	207XS0117X	Orthopaedic Surgery of the Spine Physician

General Provider Information

NPI Number	:	1376079848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARHAN SIDDIQI, MD PA

Provider Business Mailing Address
First Line	:	701 N WEST SHORE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-1122
Country	:	US
Telephone Number	:	352-556-2524
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 N WEST SHORE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-1122
Country	:	US
Telephone Number	:	352-556-2524
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FARHAN SIDDIQI
Credential	:	MD
Telephone Number	:	727-372-9922

Provider Enumeration Date	:	05/03/2017
Last Update Date	:	05/03/2017

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