IMRAN E. SIDDIQI (NPI# 1932233566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932233566 |
| Entity Type | Individual |
| Full Name | IMRAN E. SIDDIQI |
| Credential | MD |
| Practice Address |
3710 Mishoe Street Med Share Bldg. Loris SC 29569-2822 |
| Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
| Practice Telephone | 8437167911 |
| Practice Fax Number | 8437167918 |
| Mailing Telephone | 8437167911 |
| Mailing Fax Number | 8437167918 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
33339 | SC | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
33339 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942473285 | Imran N Siddiqi | Pathology | 2011 Zonal Ave, Hmr 308, Los Angeles, CA 90089-0110 | 2008-04-08 |
| Street Address |
3710 MISHOE STREET MED SHARE BLDG. |
| City | LORIS |
| State | SC |
| Zip Code | 29569-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558638676 | Mcleod Physician Associates II | Internal Medicine | 3710 Mishoe Street, Med Share Bldg., Loris, SC 29569-2822 | 2011-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464247 | Denise Logan | Dietitian, Registered | 3811 Walnut St, Loris, SC 29569 | 2014-07-02 |
| 1801231634 | Melissa Ann Miara | Internal Medicine | 3617 Casey St Ste C, Loris, SC 29569 | 2013-05-07 |
| 1356684161 | Gwyn Gordon Mcgutchen | Dentist | 3681 Spivey St., Loris, SC 29569 | 2013-03-29 |
| 1336486174 | Winferd Dale Holt | Dentist | 3980 Main Street, Loris, SC 29569 | 2013-01-14 |
| 1528314325 | Southern Living Emergency Physicians LLC | Physician Assistant | 6988 Mitchell Street, Loris, SC 29569 | 2012-07-30 |
| 1124347604 | Regina F. Holmes | Nurse Practitioner | Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | 2010-05-24 |
| 1801914122 | Dr Gwyn Gordon Mccutchen Inc | Dentist | 3681 Spivey Street, Loris, SC 29569 | 2007-03-26 |
| 1700911203 | Twin States Helping Hands | Home Health | 1620 Hwy 701 N, Loris, SC 29569 | 2007-02-23 |
| 1306922646 | Loris Community Hospital District | Clinic/Center | 3204 Casey St, Loris, SC 29569 | 2006-10-30 |
| 1619074119 | South Carolina Cvs Pharmacy LLC | Pharmacy | 4767 Broad St, Loris, SC 29569 | 2006-09-20 |
| Find all providers in zip 29569 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1275534307 | Doli Elizabeth Biondillo | Internal Medicine | 3617 Casey St, Suite C, Loris, SC 29569-2981 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013112614 | Christy Ross Sine | Internal Medicine | Palmetto Pulmonary and Critical Care, 3 St. Francis Drive, Ste 300, Greenville, SC 29601-3972 | 2007-06-15 |
| 1386760080 | Jason Gunn | Internal Medicine | 125 Doughty St Ste 200, Charleston, SC 29403-5727 | 2007-03-22 |
| 1346258746 | Carlton Gregory Cauthen | Internal Medicine | 720 Rabon Rd, Columbia, SC 29203-8900 | 2006-08-03 |
| 1710918982 | Aiken Pulmonary Associates, LLC | Internal Medicine | 68 Physician Dr, Aiken, SC 29801-6388 | 2006-07-06 |
| 1982675625 | Wilson P Smith Jr. | Internal Medicine | 2030 N Church Place, Spartanburg, SC 29303-2796 | 2006-01-31 |
| 1740280841 | Thomas D Kaelin Jr. | Internal Medicine | 9150 Medcom St. Ste B, N Charleston, SC 29406 | 2005-07-29 |
| 1508864968 | Sola Kim | Internal Medicine | 9150 Medcom St, Ste B, N Charleston, SC 29406-7108 | 2005-07-11 |
| 1881699957 | Jack Legrand Depriest | Internal Medicine | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2005-06-16 |
| 1942203922 | Nicholas J Pastis Jr. | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8900 | 2005-05-24 |
| 1134122112 | Michael Alan Spandorfer | Internal Medicine | 2097 Henry Tecklenburg Dr, Ste 305, Charleston, SC 29414-5744 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
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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.