Shahab Z Siddiqui in Hagerstown - Sports Medicine

Shahab Z Siddiqui - NPI 1962448902

Shahab Z Siddiqui is a Sports Medicine in Hagerstown, Maryland. Shahab Z Siddiqui practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Shahab Z Siddiqui is 1962448902. The last update date is 2012-10-04.

Shahab Z Siddiqui's current location address is 324 E Antietam St Ste 305, Hagerstown, Maryland. You can contact this provider via phone number 3017912510 and fax number 3017397798. The mailing address for Shahab Z Siddiqui is 324 E Antietam St Ste 305, Hagerstown, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Shahab Z Siddiqui
Address 324 E Antietam St Ste 305, Hagerstown, Maryland
Phone Number 3017912510
Fax Number 3017397798
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1962448902
Provider Enumeration Date 2006-06-20
Last Updated Date 2012-10-04

Provider Mailing Address Detail

Address 324 E Antietam St Ste 305
City Hagerstown
State Maryland (MD)
Post Code 217405768
Phone Number 3017912510
Fax Number 3017397798

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No D45031
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44221600 MD --

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FAQs about Shahab Z Siddiqui

Could you kindly provide the complete physical address where Shahab Z Siddiqui's facilities are geographically located?

The facilities of Shahab Z Siddiqui are physically situated at the following location: 324 E Antietam St Ste 305, Hagerstown, MD, 217405768.

What is Shahab Z Siddiqui's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shahab Z Siddiqui's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.

What is Shahab Z Siddiqui's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shahab Z Siddiqui is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962448902 to Shahab Z Siddiqui?

The Centers for Medicare & Medicaid Services assigned the 1962448902 to Shahab Z Siddiqui on 2006-06-20.

When was the information related to Shahab Z Siddiqui most recently updated or refreshed?

The details pertaining to the Shahab Z Siddiqui, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-04.

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