Adnan Y Siddiqui (NPI# 1134194327, PAC ID# 7810910460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1134194327 |
| PAC ID by PECOS | 7810910460 |
| Professional Enrollment ID | I20060110000071 |
| Full Name | Adnan Y Siddiqui |
| Organization Legal Name | NORTHWEST INFECTIOUS DISEASE SERVICES LLC |
| Address |
12774 Boenker Ln Bridgeton MO 63044-2436 |
| Phone Number | 3142917997 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0446216063 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 140052 | OSF SAINT ANTHONY'S HEALTH CENTER |
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Saint Anthonys Way, Alton, IL 62002-4568 | 3142917997 | NORTHWEST INFECTIOUS DISEASE SERVICES LLC |
| 12774 Boenker Ln, Bridgeton, MO 63044-2436 | 3142917997 | NORTHWEST INFECTIOUS DISEASE SERVICES LLC |
| Organization Legal Name | NORTHWEST INFECTIOUS DISEASE SERVICES LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duong T Ho | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Molly F Caldwell Mcmillan | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Shahzad Hasan | Internal Medicine | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Phillip G Zinser | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Jeanalyn S Guthrie | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Julie A Shapiro | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Manpreet Kaur Budhan | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Street Address |
12774 BOENKER LN |
| City | BRIDGETON |
| State | MO |
| Zip | 63044-2436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duong T Ho | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Molly F Caldwell Mcmillan | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Shahzad Hasan | Internal Medicine | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Phillip G Zinser | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Jeanalyn S Guthrie | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Julie A Shapiro | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Manpreet Kaur Budhan | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hassan R Jafri | Physical Therapy | 12800 Boenker Ln, Bridgeton, MO 63044-2438 | |
| Timothy R Knuuttila | Chiropractic | 12258 St Charles Rock Rd, Bridgeton, MO 63044-2501 | |
| Roman Hailu | Nurse Practitioner | Ssm Medical Group Inc | 12345 St Charls Rck Rd, Bridgeton, MO 63044-2505 |
| Hana Alul | Nurse Practitioner | Ssm Medical Group Inc | 12345 St Charls Rck Rd, Bridgeton, MO 63044-2505 |
| Jessica Lee Meyer | Physical Therapy | Prorehab PC | 12468 Saint Charles Rock Rd, Bridgeton, MO 63044-2506 |
| Ashley R Treaster | Physical Therapy | Prorehab PC | 12468 Saint Charles Rock Rd, Bridgeton, MO 63044-2506 |
| Tiffany M Martin | Physical Therapy | Prorehab PC | 12468 Saint Charles Rock Rd, Bridgeton, MO 63044-2506 |
| Zachary S Dedman | Physical Therapy | Prorehab PC | 12468 Saint Charles Rock Rd, Bridgeton, MO 63044-2506 |
| Shannon P Landgraf | Physical Therapy | Prorehab PC | 12468 Saint Charles Rock Rd, Bridgeton, MO 63044-2506 |
| Meghan E Linden | Physician Assistant | Total Access Urgent Care PC | 12409 Saint Charles Rock Rd, Bridgeton, MO 63044-2507 |
| Find all physicians in zip 63044 | |||
| City | BRIDGETON |
| Zip Code | 63044 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | BRIDGETON + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Adnan Y Siddiqui.
| 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.