DR. SAYYADUL M SIDDIQUI (NPI# 1477635027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477635027 |
| Entity Type | Individual |
| Full Name | DR. SAYYADUL M SIDDIQUI |
| Credential | MD |
| Practice Address |
10100 Kanis Rd Little Rock AR 72205-6202 |
| Practice Telephone | 5012556000 |
| Practice Fax Number | 5012556400 |
| Mailing Telephone | 5012556000 |
| Mailing Fax Number | 5012556400 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
E1580 | AR | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
E1580 | AR | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
E1580 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 145040001 | 05 | |
| AR | MALP INS | 89W326 | 01 |
| Street Address |
10100 KANIS RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073576625 | Yalcin Hacioglu | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2006-04-06 |
| 1386279032 | Jenelle Wallis | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2020-03-03 |
| 1831721059 | Keely Sparks | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2020-02-05 |
| 1073078648 | Ashley Allison Long | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2019-02-07 |
| 1144771296 | Kayla Beth Ingram-smith | Clinical Nurse Specialist | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2016-10-24 |
| 1093174716 | Callie Reynolds | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2016-02-23 |
| 1619216496 | Sara Ann Thompson | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2013-02-13 |
| 1811236789 | Leah Brazil | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2013-02-12 |
| 1023381738 | St. Vincent Infirmary Medical Center | Clinic/Center | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2012-02-13 |
| 1679875017 | Abdel Rahman A Al Emam | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205 | 2010-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679875017 | Abdel Rahman A Al Emam | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205 | 2010-11-17 |
| 1265691976 | Vijay N. Raja | Internal Medicine | 7 Shackleford West Blvd, Little Rock, AR 72211 | 2008-06-06 |
| 1073538534 | Allam A Kowatli | Internal Medicine | 7 Shackleford West Blvd, Little Rock, AR 72211-3714 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497041982 | Jerson Munoz Mendoza | Internal Medicine | 3343 Springhill Dr Ste 1035, North Little Rock, AR 72117-2930 | 2011-06-22 |
| 1225126626 | Lensey Crashun Scott | Internal Medicine | 525 Western Ave Ste 202, Conway, AR 72034-4980 | 2006-10-11 |
| 1982648663 | Northwest Arkansas Heart & Vascular Center | Internal Medicine | 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 | 2006-06-15 |
| 1306889407 | Loyd E Nugent | Internal Medicine | 2701 Se J St, Bentonville, AR 72712-4266 | 2006-06-14 |
| 1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
| 1508825647 | L. Parker Norris | Internal Medicine | 625 United Dr Ste 220, Conway, AR 72032-7835 | 2006-03-18 |
| 1740266998 | Vishwanatha S Nadig | Internal Medicine | 405 E Collin Raye Dr Ste C, De Queen, AR 71832 | 2005-12-20 |
| 1851386833 | Aldo Vicente Fonticiella | Internal Medicine | 619 W Grove St, El Dorado, AR 71730-4413 | 2005-09-15 |
| 1114919107 | Allan B Hatch | Internal Medicine | 1000 Highway 35 N, Suite 8, Benton, AR 72019-2351 | 2005-08-17 |
| 1437154036 | Jeffrey George Tauth | Internal Medicine | 110 Cracker Box Ln, Hot Springs National Park, AR 71913-5418 | 2005-06-20 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.