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NPI Code Detail

MEDICARE: MUSFARAH SIRAJ MD

MEDICARE: MUSFARAH SIRAJ 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 Physician036173196IL
2207R00000XInternal Medicine Physician125.080644IL
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1386394773
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUSFARAH SIRAJ MD
Provider Business Mailing Address
First Line : 3134 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4414
Country : US
Telephone Number : 312-766-4949
Fax Number : 312-766-4925
Provider Business Practice Location Address
First Line : 3134 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4414
Country : US
Telephone Number : 312-766-4949
Fax Number : 312-766-4925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2022
Last Update Date : 02/12/2026

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