SHAHAB Z SIDDIQUI


Address: 324 E Antietam St Ste 305, Hagerstown, MD 21740-5768
Phone: 3017912510

SHAHAB Z SIDDIQUI (NPI# 1962448902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962448902
Entity Type Individual
Full Name SHAHAB Z SIDDIQUI
Credential MD
Practice Address 324 E Antietam St Ste 305
Hagerstown
MD 21740-5768
Practice Telephone 3017912510
Practice Fax Number 3017397798
Mailing Telephone 3017912510
Mailing Fax Number 3017397798
Enumeration Date 2006-06-20
Last Update Date 2012-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
D45031 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 044221600 05

Other Providers SHAHAB SIDDIQUI

NPI Name Taxonomy Address Enumeration
1467521906 Shahab Ahmed Siddiqui Pharmacist 4 Sutter Ave, Brooklyn, NY 11212-3838 2006-11-07

Office Location

Street Address 324 E ANTIETAM ST STE 305
City HAGERSTOWN
State MD
Zip Code 21740-5768

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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy 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 have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

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1053677518 Jonathan Damon Lawless Family Medicine 11120 New Hampshire Ave Ste 411, Silver Spring, MD 20904-2620 2012-04-09
1467644807 Anne K. Rettig Family Medicine 12111 Darnestown Rd, Gaithersburg, MD 20878-2205 2007-08-09
1881765170 Christian Nnamdi Nwankwo Jr. Family Medicine 17 Firstfield Rd, 2nd Floor, Gaithersburg, MD 20878-1774 2006-11-10
1265529762 Christopher Edward Jonas Family Medicine 4301 Jones Bridge Rd Dept Of, Bethesda, MD 20814-4712 2006-10-06
1649256496 John L Ferrell IIi Family Medicine 11300 Rockville Pike Ste 615, Rockville, MD 20852-3033 2005-12-22
1821502709 Phillip Michael Morgan Family Medicine 1718 Belmont Ave Ste C, Windsor Mill, MD 21244-2552 2017-11-29
1124552302 Phil Mor Fit Family Medicine 1718 Belmont Ave Ste C, Windsor Mill, MD 21244-2552 2017-04-14
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Competitor

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City HAGERSTOWN
Zip Code 21740

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Dataset Information

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.

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