MEDICARE: BUSHRA SIDDIQUE M.D.

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	208M00000X	Hospitalist Physician	29723	OK

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	:	1982848719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BUSHRA SIDDIQUE M.D.

Provider Business Mailing Address
First Line	:	820 W DANFORTH RD
Second Line	:	SUITE 302
City	:	EDMOND
State	:	OK
Zip	:	73103-5006
Country	:	US
Telephone Number	:	405-217-0203
Fax Number	:	405-604-4331

Provider Business Practice Location Address
First Line	:	5401 N PORTLAND AVE
Second Line	:	SUITE 220
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2121
Country	:	US
Telephone Number	:	405-694-4966
Fax Number	:	405-604-4331

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

Provider Enumeration Date	:	04/23/2009
Last Update Date	:	12/16/2025

Similar Medicare Providers

1285836692 — DR. SHEILA SUE NEWCOMB D.O.
Practice Location Address:

5401 N PORTLAND AVE , SUITE 440
OKLAHOMA CITY, OK
73112-2121

Practice Phone: 405-604-4100
Practice Fax: 405-604-4203

1477739662 — OKLAHOMA PET CENTER LLC
Practice Location Address:

5401 N PORTLAND AVE , 330
OKLAHOMA CITY, OK
73112-2121

Practice Phone: 405-604-4439
Practice Fax:

1497926281 — DEACONESS PHYSICIAN SERVICES LLC
Practice Location Address:

5401 N PORTLAND AVE , SUITE 390
OKLAHOMA CITY, OK
73112-2121

Practice Phone: 405-943-6200
Practice Fax: 405-943-0080

1629223771 — JERRY R. TEEL, PHD PC
Practice Location Address:

5401 N PORTLAND AVE , SUITE 540
OKLAHOMA CITY, OK
73112-2121

Practice Phone: 405-659-2902
Practice Fax: 405-951-4901

1750518601 — DEACONESS PHYSICIAN SERVICES LLC
Practice Location Address:

5401 N PORTLAND AVE , SUITE 410
OKLAHOMA CITY, OK
73112-2121

Practice Phone: 405-943-6200
Practice Fax: 405-943-0080

1023320199 — MS. JENNIFER LEE ZOGLEMAN PA-C
Practice Location Address:

5401 N PORTLAND AVE STE 600
OKLAHOMA CITY, OK
73112-2121

Practice Phone: 405-713-9940
Practice Fax: 405-713-9941

Directions to “ BUSHRA SIDDIQUE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.