AHMAD DANIYAL SIDDIQUI (NPI# 1700873783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700873783 |
| Entity Type | Individual |
| Full Name | AHMAD DANIYAL SIDDIQUI |
| Credential | MD |
| Practice Address |
1 Eaton Pl Worcester MA 01608-1232 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5083636515 |
| Practice Fax Number | 5083637515 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
226914 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 123 Summer St, Worcester, MA 016081216 | 5083636515 | 5083637515 |
| University of Massachusetts Medical Center, 55 Lake Avenue North, Worcester, MA 01655 | 5088563903 |
| Street Address |
1 EATON PL |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972131100 | Tara Jean Wise | Social Worker | 1 Eaton Pl, Worcester, MA 01608-1232 | 2020-04-01 |
| 1982104287 | Donna Marie Lacerte-blais | Social Worker | 1 Eaton Pl, Worcester, MA 01608-1232 | 2018-02-14 |
| 1770985699 | Zoe Paleologos | Physician Assistant | 1 Eaton Pl, Worcester, MA 01608-1232 | 2014-09-23 |
| 1174922397 | Imaging Consultants Inc | Clinic/Center | 1 Eaton Pl, Worcester, MA 01608-1232 | 2014-08-14 |
| 1033536636 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 1 Eaton Pl, Worcester, MA 01608-1232 | 2014-03-21 |
| 1962564153 | James Dennis O'shea | Internal Medicine | 1 Eaton Pl, Ste 23, Worcester, MA 01608-1232 | 2006-12-14 |
| 1407917412 | Diane Lockhart | Surgery | 1 Eaton Pl, Suite 22, Worcester, MA 01608-1232 | 2006-12-13 |
| 1811933047 | William Barry Casey | Radiology | 1 Eaton Pl, Worcester, MA 01608-1232 | 2006-06-22 |
| 1215983358 | James J Rooney | Internal Medicine | 1 Eaton Pl, Suite 300, Worcester, MA 01608-1232 | 2006-05-26 |
| 1972572022 | Tracey M Hall | Nurse Practitioner | 1 Eaton Pl, St. Vincent Hosptial Breast Care Program One, Worcester, MA 01608-1232 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071077 | Vijay K Kasturi | Internal Medicine | 33 Kendall Street, Umass Memorial Campus, Worcester, MA 01605 | 2005-11-22 |
| 1801883673 | Shakeeb A Yunus | Internal Medicine | 1 Eaton Pl Ste 23, Worcester, MA 01608-1232 | 2005-10-05 |
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1538588322 | Sonali R. Harchandani | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2014-04-09 |
| 1063859387 | Andrew J. Gillis-smith | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2013-05-28 |
| 1538506100 | Amy E. Pratt | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2013-05-23 |
| 1669815874 | Shyam A Patel | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2013-04-08 |
| 1720335987 | Patan Gultawatvichai | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655 | 2012-08-07 |
| 1629339924 | Shrinkhala Khanna | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655 | 2012-06-04 |
| 1063706331 | Robert Edward Gaudet Jr. | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2011-06-04 |
| Find all providers in WORCESTER | ||||
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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.