Sabiha Tabassum Siddiqui


Address: 10775 Falls Creek Ln, Centerville, OH 45458-6063

Sabiha Tabassum Siddiqui (NPI# 1386669760, PAC ID# 0648280297) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1386669760
PAC ID by PECOS 0648280297
Professional Enrollment ID I20060427000311
Full Name Sabiha Tabassum Siddiqui
Address 10775 Falls Creek Ln
Centerville
OH 45458-6063
Gender F
Credential MD
Graduation Year 1991
Primary Specialty FAMILY PRACTICE
Secondary Specialties GERIATRIC MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360239 KETTERING MEDICAL CENTER - SYCAMORE
360133 GRANDVIEW AND SOUTHVIEW HOSPITALS

Other Locations

Address Phone Organization
10775 Falls Creek Ln, Centerville, OH 45458-6063
1625 S Alex Rd, West Carrollton, OH 45449-5404 9378650534 ALLIANCE PHYSICIANS INC

Organization Information

Office Location

Street Address 10775 FALLS CREEK LN
City CENTERVILLE
State OH
Zip 45458-6063

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Competitor

Search similar physicians

City CENTERVILLE
Zip Code 45458
Specialty FAMILY PRACTICE
City + Specialty CENTERVILLE + FAMILY PRACTICE

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Dataset Information

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.

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