MAHMOOD ABDUL SIDDIQUI (NPI# 1568439453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568439453 |
| Entity Type | Individual |
| Full Name | MAHMOOD ABDUL SIDDIQUI |
| Credential | M.D. |
| Practice Address |
144 Medical Center Dr #b Copperhill TN 37317-5000 |
| Mailing Address |
Po Box 1162 Copperhill TN 37317-1162 |
| Practice Telephone | 4234969214 |
| Practice Fax Number | 4234967809 |
| Mailing Telephone | 4234969214 |
| Mailing Fax Number | 4234967809 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2008-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD0000026174 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3089399 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760788509 | Mahmood Siddiqui | Obstetrics & Gynecology | 3238 Capital Avenue Sw, Battle Creek, MI 49015 | 2011-01-26 |
| Street Address |
144 MEDICAL CENTER DR #B |
| City | COPPERHILL |
| State | TN |
| Zip Code | 37317-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457849457 | Grace Health Services Pllc | Clinic/Center | 104 Grand Avenue, Copperhill, TN 37317 | 2018-04-25 |
| 1841695210 | Toshia Worley | Adult Companion | 120 Grande Ave, Copperhill, TN 37317 | 2014-10-28 |
| 1225334121 | Gregory Alan Eckel | Dentist | 102 Grand Avenue, Copperhill, TN 37317 | 2011-02-10 |
| 1386771566 | Claude Dennis Muse | Dentist | 75 Grand Avenue, Copperhill, TN 37317 | 2007-02-27 |
| 1245335082 | Richard Adler | Internal Medicine | 107 Ocoee Street, Copperhill, TN 37317 | 2006-09-14 |
| 1316958044 | Lester Dale Mccartney | Emergency Medicine | 144 Medical Center Drive., Copperhill, TN 37317 | 2006-08-10 |
| 1750363115 | Copper Basin Community Hospital Inc | General Acute Care Hospital | 144 Medical Center Drive, Copperhill, TN 37317 | 2005-11-18 |
| 1821092453 | Stephen M. Treon | Internal Medicine | 141 Ocoee St, Copperhill, TN 37317 | 2005-06-10 |
| 1902212913 | Bethany Whitener | Nurse Practitioner | 104 Grand Ave, Copperhill, TN 37317 | 2014-07-10 |
| 1417009978 | Copper Basin Community Hospital Inc | Medicare Defined Swing Bed Unit | 144 Medical Center Drive, Copperhill, TN 37317 | 2007-01-17 |
| Find all providers in zip 37317 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1245335082 | Richard Adler | Internal Medicine | 107 Ocoee Street, Copperhill, TN 37317 | 2006-09-14 |
| 1427070523 | Mahmood A Siddiqui Md PC | Internal Medicine | 144 Medical Center Dr. #b, Copperhill, TN 37317-5000 | 2006-07-25 |
| 1821092453 | Stephen M. Treon | Internal Medicine | 141 Ocoee St, Copperhill, TN 37317 | 2005-06-10 |
| 1477858116 | Richard Tanner | Internal Medicine | 144 Medical Center Dr Ste C, Copperhill, TN 37317-5006 | 2011-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816485 | Bulls Gap Medical and Walk In Clinic | Internal Medicine | 273 Highway 11 E Ste A, Bulls Gap, TN 37711-3434 | 2020-06-19 |
| 1043856677 | Pac of Tennessee PC | Internal Medicine | 1958 West State Street, Suite 2, Bristol, TN 37620-2257 | 2019-11-19 |
| 1730739442 | Megan Elizabeth Wagner | Internal Medicine | 220 Eauclair St, Kingsport, TN 37664-4840 | 2019-09-14 |
| 1649825258 | Daniel Cusator | Internal Medicine | 9258 Wardley Park Ln, Brentwood, TN 37027-4465 | 2019-08-09 |
| 1508423799 | Priority Health, Pllc | Internal Medicine | 486 Bells Chapel Rd, Dyer, TN 38330-3028 | 2019-05-22 |
| 1326603911 | Tennessee Health Partners LLC | Internal Medicine | 5300 Maryland Way Ste 103, Brentwood, TN 37027-5074 | 2019-05-08 |
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1881179844 | Mtn Care, Pllc | Internal Medicine | 5543 Edmondson Pike # 231, Nashville, TN 37211-5808 | 2018-09-26 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1053810457 | Noi Nuyen Md, Pllc | Internal Medicine | 214 Prosperity Dr, Knoxville, TN 37923-4702 | 2018-02-12 |
| Find all providers with the same taxonomy | ||||
| City | COPPERHILL |
| Zip Code | 37317 |
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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.