OMER SIDDIQUI (NPI# 1659577278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659577278 |
| Entity Type | Individual |
| Full Name | OMER SIDDIQUI |
| Other Name | OMER MUHAMMAD ASIF SIDDIQUI |
| Credential | M.D. |
| Practice Address |
1325 Eastmoreland Ave Ste 220 Memphis TN 38104-7547 |
| Mailing Address |
1407 Union Ave Ste 700 Memphis TN 38104-3641 |
| Practice Telephone | 9018668810 |
| Practice Fax Number | 9013022435 |
| Mailing Telephone | 9018668622 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 46512 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 23721 | MS | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | E6551 | AR | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
46512 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03001574 | 05 | |
| TN | 1524078 | 05 | |
| AR | 187456001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7601 Southcrest Pkwy, Southaven, MS 386714739 | 6627722980 | 6627722960 |
| 6019 Walnut Grove Rd, Memphis, TN 381202113 | 9012263610 | 9012263612 |
| 6019 Walnut Grove Rd, Memphis, TN 381202113 | 6627722488 |
| Street Address |
1325 EASTMORELAND AVE STE 220 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-7547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033176250 | Robert Bradley Canada | Internal Medicine | 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104 | 2006-05-01 |
| 1790191856 | Alice Chedid | Internal Medicine | 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104 | 2014-07-09 |
| 1689807455 | Hieu Vo | Internal Medicine | 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104-7547 | 2009-08-27 |
| 1942268529 | Arif Showkat | Internal Medicine | 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104-7547 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| 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 |
|---|---|---|---|---|
| 1669646634 | Mark Shermer, M.d.,p.c. | Internal Medicine | 6005 Park Ave Ste 807, Memphis, TN 38119-5218 | 2008-04-21 |
| 1457536559 | Manish Talwar | Internal Medicine | 1265 Union Ave Ste 184, Memphis, TN 38104-3415 | 2008-01-08 |
| 1821299512 | Minesh Babul Pathak | Internal Medicine | 3950 New Covington Pike Ste 300, Memphis, TN 38128-2591 | 2007-05-30 |
| 1942418546 | John T. Morris, IIi, Md, PC | Internal Medicine | 780 Truse Pkwy Ste 102, Memphis, TN 38117-5361 | 2007-05-18 |
| 1689603102 | Sanjeev Kumar Mittal | Internal Medicine | 6027 Walnut Grove Rd Ste 402, Memphis, TN 38120-2129 | 2006-06-30 |
| 1497794580 | William F Owen | Internal Medicine | 62 S Dunlap St, Memphis, TN 38103-4903 | 2006-06-05 |
| 1235185315 | John Thomas Morris IIi | Internal Medicine | 7640 Wolf River Cir, 2nd Floor, Memphis, TN 38138-1744 | 2006-05-26 |
| 1285683664 | Hugh Hermes Williams | Internal Medicine | 220 S Claybrook St, Suite 314, Memphis, TN 38104-3527 | 2006-05-10 |
| 1356399117 | Zaher Al-shallah | Internal Medicine | 6027 Walnut Grove Rd Ste 405, Memphis, TN 38120 | 2006-05-04 |
| 1033176250 | Robert Bradley Canada | Internal Medicine | 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104 | 2006-05-01 |
| Find all providers in MEMPHIS | ||||
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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.