Mohammad W Siddiqui (NPI# 1457430175, PAC ID# 0446152649) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1457430175 |
| PAC ID by PECOS | 0446152649 |
| Professional Enrollment ID | I20040127000017 |
| Full Name | Mohammad W Siddiqui |
| Organization Legal Name | THOMAS H BOYD MEMORIAL HOSPITAL |
| Address |
800 School St Carrollton IL 62016-1436 |
| Phone Number | 2179426946 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8123085560 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141300 | THOMAS H BOYD MEMORIAL HOSPITAL |
| 141347 | CARLINVILLE AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20733 N Broad St, Carlinville, IL 62626-3710 | 2178543141 | CARLINVILLE AREA HOSPITAL ASSOCIATION |
| 800 School St, Carrollton, IL 62016-1436 | 2179426946 | THOMAS H BOYD MEMORIAL HOSPITAL |
| Organization Legal Name | THOMAS H BOYD MEMORIAL HOSPITAL |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Dailey | Otolaryngology | Thomas H Boyd Memorial Hospital | 800 School St, Carrollton, IL 62016-1436 |
| Renan Reyes Mapue | Internal Medicine | Thomas H Boyd Memorial Hospital | 800 School St, Carrollton, IL 62016-1436 |
| Emad M Fahmy | Internal Medicine | Thomas H Boyd Memorial Hospital | 800 School St, Carrollton, IL 62016-1436 |
| Malcolm A Schulz | General Surgery | Thomas H Boyd Memorial Hospital | 800 School St, Carrollton, IL 62016-1436 |
| Imran Hasanuddin | Emergency Medicine | Thomas H Boyd Memorial Hospital | 800 School St, Carrollton, IL 62016-1436 |
| Street Address |
800 SCHOOL ST |
| City | CARROLLTON |
| State | IL |
| Zip | 62016-1436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Dailey | Otolaryngology | Thomas H Boyd Memorial Hospital | 800 School St, Carrollton, IL 62016-1436 |
| Renan Reyes Mapue | Internal Medicine | Thomas H Boyd Memorial Hospital | 800 School St, Carrollton, IL 62016-1436 |
| Emad M Fahmy | Internal Medicine | Thomas H Boyd Memorial Hospital | 800 School St, Carrollton, IL 62016-1436 |
| Malcolm A Schulz | General Surgery | Thomas H Boyd Memorial Hospital | 800 School St, Carrollton, IL 62016-1436 |
| Imran Hasanuddin | Emergency Medicine | Thomas H Boyd Memorial Hospital | 800 School St, Carrollton, IL 62016-1436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Hart | Chiropractic | 307 6th St, Carrollton, IL 62016-1247 | |
| Justin Kyle Hamel | Chiropractic | Hamel Chiropractic Clinic LLC | 306 5th St, Carrollton, IL 62016-1325 |
| Jacob M Funk | Chiropractic | Hamel Chiropractic Clinic LLC | 306 5th St, Carrollton, IL 62016-1325 |
| Jose P Parcon | Family Practice | Jose P Parcon M D S C | 727 9th St, Carrollton, IL 62016-1427 |
| City | CARROLLTON |
| Zip Code | 62016 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CARROLLTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mohammad W Siddiqui.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.