Essa J Sidiqi
LAKE HAVASU PRIMARY CARE PLLC


Address: 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810
Phone: 9284530777

Essa J Sidiqi (NPI# 1891008934, PAC ID# 2264667674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1891008934
PAC ID by PECOS 2264667674
Professional Enrollment ID I20140424001816
Full Name Essa J Sidiqi
Organization Legal Name LAKE HAVASU PRIMARY CARE PLLC
Address 89 Civic Ctr Ln
Lake Havasu City
AZ 86403-0810
Phone Number 9284530777
Gender M
Graduation Year 2004
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2567781271
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030069 HAVASU REGIONAL MEDICAL CENTER
030094 ARROWHEAD HOSPITAL
031317 LA PAZ REGIONAL HOSPITAL

Other Locations

Address Phone Organization
1221 Claremont Dr, Lake Havasu City, AZ 86406-8684 9284530777 LAKE HAVASU PRIMARY CARE PLLC
1830 Mesquite Ave, Suite B, Lake Havasu City, AZ 86403-5885 9284530777 LAKE HAVASU PRIMARY CARE PLLC
89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 9284530777 LAKE HAVASU PRIMARY CARE PLLC

Organization Information

Organization Legal Name LAKE HAVASU PRIMARY CARE PLLC
Physicians 1

Office Location

Street Address 89 CIVIC CTR LN
City LAKE HAVASU CITY
State AZ
Zip 86403-0810

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Paul E Klein Nurse Practitioner Hrmc, LLC 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867
Annette Baccus Nurse Practitioner Havasu Regional Medical Center LLC 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867
Christian L Grandell Physician Assistant Fps Medical Center Ltd 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602
Peter H Dux Family Medicine Fps Medical Center Ltd 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602
Jeffrey J Carls Family Medicine Fps Medical Center Ltd 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602
Lisa V Williams Physician Assistant Fps Medical Center Ltd 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602
Bridget C Conley Physician Assistant Fps Medical Center Ltd 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602
Sook Y Owen Nurse Practitioner Apogee Medical Group Inc 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607
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Competitor

Search similar physicians

City LAKE HAVASU CITY
Zip Code 86403
Specialty FAMILY MEDICINE
City + Specialty LAKE HAVASU CITY + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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