DR. ADEEL AHMED SIDDIQUI (NPI# 1245563436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245563436 |
| Entity Type | Individual |
| Full Name | DR. ADEEL AHMED SIDDIQUI |
| Practice Address |
755 Norman Dr Lebanon PA 17042-7497 |
| Practice Telephone | 2722736706 |
| Practice Fax Number | 7172020278 |
| Mailing Telephone | 2722736706 |
| Mailing Fax Number | 7172020278 |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2016-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 191956 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD448536 | PA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0101253572 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1245563436 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720345929 | Adeel Mohammad Siddiqui | Internal Medicine | 350 W Columbia St Ste 310, Evansville, IN 47710-1782 | 2012-04-12 |
| 1720377583 | Adeel Siddiqui | Radiology | 848 Adams Ave Ground Fl, Memphis, TN 38103 | 2011-04-01 |
| 1609812338 | Adeel M. Siddiqui | Internal Medicine | 3521 Haworth Dr, Raleigh, NC 27609-7244 | 2006-06-21 |
| Street Address |
755 NORMAN DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330718 | Ernesto Gutierrez | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2005-07-18 |
| 1962910372 | Gwendolyn Sumter-davis | Nurse Practitioner | 755 Norman Dr, Lebanon, PA 17042-7497 | 2018-01-19 |
| 1205347481 | Patrick Lello | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-10-16 |
| 1912418146 | Katie Nicole Dresch | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-10-16 |
| 1467974139 | Maria Huffman | Nurse Practitioner | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-07-13 |
| 1134534571 | Joji James | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2014-06-24 |
| 1891078937 | Danielle L. Poltersdorf | Physician Assistant | 755 Norman Dr, Credentials Dept, Lebanon, PA 17042-7497 | 2011-09-26 |
| 1942439260 | Georgett Zaki | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-07-08 |
| 1861636995 | Esther Voynow | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-04-20 |
| 1134342496 | Adam J Albert | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578555967 | Robert Gradzki | Internal Medicine | 1700 S. Lincoln Ave., Lebanon, PA 17042 | 2005-08-22 |
| 1396737177 | Bhabendra N. Putatunda | Internal Medicine | 212 Babb Dr, Ste. B, Lebanon, TN 37087-2508 | 2005-08-18 |
| 1356348841 | Jennifer L Munson | Internal Medicine | 100 Arrow Springs Blvd, 2500, Lebanon, OH 45036-7002 | 2005-06-30 |
| 1134534571 | Joji James | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2014-06-24 |
| 1366701344 | Mid-valley Healthcare, Inc | Internal Medicine | 100 Mullins Dr, Suite B1, Lebanon, OR 97355-3982 | 2012-05-10 |
| 1275700049 | Elizabeth Jane Brant | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2008-05-12 |
| 1902013410 | Saadia Khan | Internal Medicine | 212 Babb Dr, Ste. B, Lebanon, TN 37087-2508 | 2007-05-16 |
| 1730207648 | Nephrology Associates of Southwestern Ohio, Inc. | Internal Medicine | 100 Arrow Springs Blvd, Suite 2600, Lebanon, OH 45036-9863 | 2007-03-27 |
| 1457428013 | Michael Charles Chobanian | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-11-29 |
| 1831270230 | Fariha Chaudhry | Internal Medicine | One Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 | 2006-10-18 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.